Organization
THE RAVE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIL SHEKHAT MD (RADIOLOGIST)
(865) 274-0102
Entity
Organization
Contact information
Practice address
2767 S STATE ROAD 7, WELLINGTON, FL 33414-9320
(274) 743-5428
Mailing address
2767 S STATE ROAD 7, WELLINGTON, FL 33414-9320
(274) 743-5428
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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