Individual
MOONASAR P RAMPERTAAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 3RD AVE E, BRADENTON, FL 34208-1013
(941) 741-8633
(941) 741-8332
Mailing address
203 3RD AVE E, BRADENTON, FL 34208-1013
(941) 741-8633
(941) 741-8332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039992200
—
FL
01
—
650151746
TAX ID
FL
Enumeration date
12/01/2006
Last updated
08/05/2021
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