Individual
DR. GAYAN POOVENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10650 W STATE ROAD 84 STE 111, DAVIE, FL 33324-4235
(305) 209-1951
Mailing address
PO BOX 162743, ALTAMONTE SPRINGS, FL 32716-2743
(954) 580-4084
(954) 530-5096
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME121381
FL
Other
Enumeration date
06/14/2010
Last updated
04/07/2025
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