Individual
SOOMDAT RAGOO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-7508
(561) 422-8351
Mailing address
2168 AMESBURY CIR, WELLINGTON, FL 33414-8023
(561) 798-2491
(561) 422-8351
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004740-1
NY
363AS0400X
Surgical Physician Assistant
PA3521
FL
Other
Enumeration date
06/20/2006
Last updated
09/11/2025
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