Individual
RAVI XAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 S 25TH ST, FORT PIERCE, FL 34947-4796
(772) 489-0051
(772) 489-0026
Mailing address
PO BOX 862622, ORLANDO, FL 32886-2622
(561) 578-8400
(561) 578-8099
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 61008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056753100
—
FL
Enumeration date
07/21/2006
Last updated
10/10/2011
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