Individual
NEVIN VIJAYARAGHAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3D SPORTS MEDICINE & ORTHOPAEDIC CENTER, 141 COCONUT DRIVE, INDIALANTIC, FL 32903
(321) 989-8939
Mailing address
422 HANSON RD, DURHAM, NC 27713-3110
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2022-01662
NC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS20645
FL
390200000X
Student in an Organized Health Care Education/Training Program
238332
NC
Other
Enumeration date
05/02/2018
Last updated
07/01/2024
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