Organization
MIDWAY IMMUNOLOGY AND RESEARCH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOTI N RAMGOPAL MD (CEO)
(772) 464-9746
Entity
Organization
Contact information
Practice address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
Mailing address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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