Individual
DR. RAVI B MASIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EMERGENCY DEPARTMENT, LAKE WALES MEDICAL CENTER, 410 S 11TH STREET, LAKE WALES, FL 33853
(863) 679-6811
Mailing address
PO BOX 780314, SEBASTIAN, FL 32978-0314
(722) 087-6417
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-111891
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME75539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-111891
—
IL
Enumeration date
02/27/2006
Last updated
05/09/2019
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