Individual
ETHIRAJ RAMCHANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1131 E NORTH BLVD, LEESBURG, FL 34748-5375
(352) 365-2333
(352) 365-2024
Mailing address
PO BOX 1739, TAVARES, FL 32778-1739
(352) 365-2333
(352) 365-2024
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0075978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43773
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/03/2006
Last updated
02/28/2008
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