Organization
MOTI RAMGOPAL MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOTI RAMGOPAL MD (CEO)
(772) 464-9746
Entity
Organization
Contact information
Practice address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
(772) 464-9750
Mailing address
10302 S FEDERAL HWY, STE 265, PORT ST LUCIE, FL 34952-5605
(772) 464-9746
(772) 464-9750
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME70180
FL
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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