Individual
MANISHA RAYAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
305 W CENTRAL AVE, LAKE WALES, FL 33853-4015
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 229-7970
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS11541
FL
Other
Enumeration date
05/19/2008
Last updated
01/16/2020
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