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Individual

JONATHAN D RALPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
333 NW 70TH AVE, SUITE 120, PLANTATION, FL 33317-2385
(954) 731-2810
(954) 791-9810
Mailing address
333 NW 70TH AVE, SUITE 120, PLANTATION, FL 33317-2385
(954) 731-2810
(954) 791-9810

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME0036825
PA

Other

Enumeration date
12/31/2007
Last updated
12/31/2007
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