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Individual

RAVI M BISSESSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
851 TRAFALGAR CT, STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME96044
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276193900
FL
01
56372
BCBS
FL
Enumeration date
08/03/2006
Last updated
05/26/2020
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