Provider Demographics
NPI:1770476392
Name:MEHTA-PINTARD, MARIE USHA (RN)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:USHA
Last Name:MEHTA-PINTARD
Suffix:
Gender:X
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 ALMOND RD # A
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-8625
Mailing Address - Country:US
Mailing Address - Phone:954-740-4969
Mailing Address - Fax:
Practice Address - Street 1:200 NE 25TH AVE FL 34470
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-7041
Practice Address - Country:US
Practice Address - Phone:954-740-4969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040409363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty