Individual
MR. MOTI N RAMGOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
(772) 464-9750
Mailing address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
(772) 464-9750
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME70180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251313700
—
FL
Enumeration date
03/08/2006
Last updated
10/06/2015
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