Individual
RAVI YARLAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11215 METRO PKWY STE 1, FORT MYERS, FL 33966-1206
(239) 208-2212
Mailing address
9110 COLLEGE POINTE CT, FORT MYERS, FL 33919-3244
(239) 208-2206
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
22454
NH
2084N0400X
Neurology Physician
Primary
ME98017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278966900
—
FL
Enumeration date
05/01/2006
Last updated
01/03/2023
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