Individual
DR. MICHAEL A RAVITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4700 N CONGRESS AVE STE 103, WEST PALM BEACH, FL 33407
(561) 255-3131
(855) 346-3451
Mailing address
1094 MILITARY TRL, JUPITER, FL 33458-7021
(561) 255-3131
(855) 215-9930
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS0003855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037709100
—
FL
01
—
050003855
MED LICENSE
FL
01
—
060013128
RR MEDICARE
FL
01
—
064516800
GRP
FL
Enumeration date
06/06/2006
Last updated
03/07/2023
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