Individual
AJAY GOVINDARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE FL 33136, MIAMI, FL 33136-1005
(321) 750-9471
Mailing address
385 NW 19TH ST, MIAMI, FL 33136-1602
(321) 750-9471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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