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Individual

DR. MIKHAIL SEMYONOVICH RAVVIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2010 59TH ST W, STE 5600, BRADENTON, FL 34209-4686
(941) 798-3524
Mailing address
PO BOX 552106, TAMPA, FL 33655-0001

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME89806
FL

Other

Enumeration date
04/06/2006
Last updated
07/08/2007
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