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Contact Information

KETAN MEHTA
1005 DALE MABRY HWY
LUTZ, FL33548-3021
 Phone: 813-549-5678
 Fax: 407-671-4155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KETAN MEHTA · (Male)

NPI # 1992293849
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2018
Last updated 01/02/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO4149
Hospital affiliation(s)
  • JFK MEDICAL CENTER - (Acute Care)
    5301 S CONGRESS AVE
    ATLANTIS, FL 33462
  • PALMS WEST HOSPITAL - (Acute Care)
    13001 SOUTHERN BLVD
    LOXAHATCHEE, FL 33470
  • WELLINGTON REGIONAL MEDICAL CENTER - (Acute Care)
    10101 FOREST HILL BLVD
    WELLINGTON, FL 33414
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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