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Individual

DR. RAVI MIRPURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4513 EXECUTIVE DR STE 101, NAPLES, FL 34119
(239) 591-2803
(239) 591-2803
Mailing address
PO BOX 110820, NAPLES, FL 34108-0114
(239) 591-2803
(239) 594-5637

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS11794
FL
208D00000X
General Practice Physician
UO2718
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
OS11794
FL

Other

Enumeration date
09/26/2011
Last updated
05/14/2018
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