Individual
DR. RAMAK ROOHIPOURMOALLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MFC1845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105702800
—
FL
01
—
PM7TA
BCBS
FL
Enumeration date
02/17/2020
Last updated
08/12/2021
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