Individual
REENA VIJAYAMMA RAVEENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3354 PUXTON DR, ORLANDO, FL 32824
(407) 577-7314
(407) 577-7314
Mailing address
3354 PUXTON DR, ORLANDO, FL 32824
(407) 577-7314
(407) 577-7314
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11040001
FL
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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