Individual
VIDUR PRAVIN GHANTIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4513 EXECUTIVE DR, NAPLES, FL 34119-9033
(239) 591-2803
Mailing address
4513 EXECUTIVE DR, NAPLES, FL 34119-9033
(239) 591-2803
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS18179
FL
Other
Enumeration date
02/16/2018
Last updated
02/14/2023
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