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Individual

RAMAGAVRI R RAWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2275 S BABCOCK ST, BREVARD COUNTY HEALTH DEPARTMENT, MELBOURNE, FL 32901-5305
(321) 454-7148
(321) 690-3276
Mailing address
2575 N COURTENAY PKWY, BREVARD COUNTY HEALTH DEPARTMENT, MERRITT ISLAND, FL 32953
(321) 454-7148
(321) 639-5762

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME46790
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035828200
FL
Enumeration date
10/06/2006
Last updated
07/13/2011
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