Individual ProviderVijay MehtaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1400 NW 12th Ave, Miami, FL 33136-1003(305) 689-1375PECOS EnrollmentBased on the most recent information from CMS, provider Vijay Mehta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1467814129Provider TypeIndividualFull NameMehta, VijayCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/22/2016Last Updated12/16/2024Contact InformationPractice LocationPractice Address1400 NW 12th Ave, Miami, FL 33136-1003Phone(305) 689-1375FaxUnlisted FaxMailing LocationMailing Address1400 NW 12th Ave, Miami, FL 33136-1003Phone(305) 689-1375FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME139451Florida