Individual
DR. JUAN L RAVELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 MERCY DR, ORLANDO, FL 32808-7820
(407) 905-8827
(407) 209-3220
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 209-3220
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME33374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038797500
—
FL
Enumeration date
06/13/2006
Last updated
11/21/2018
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