Organization
MEHAN GERIATRIC CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI MEHAN DO (OWNER/ PHYSICIAN)
(954) 558-4549
Entity
Organization
Contact information
Practice address
8737 BALLY BUNION RD, PORT ST LUCIE, FL 34986-3086
(954) 558-4549
Mailing address
8737 BALLY BUNION RD, PORT ST LUCIE, FL 34986-3086
(954) 558-4549
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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