Individual
DR. RAVI PANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1665 KINGSLEY AVE STE 107, ORANGE PARK, FL 32073-4415
(904) 272-9981
Mailing address
1665 KINGSLEY AVE STE 107, ORANGE PARK, FL 32073-4415
(904) 276-7336
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME109673
FL
2084V0102X
Vascular Neurology Physician
Primary
ME109673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037714-00
—
FL
Enumeration date
06/11/2008
Last updated
12/02/2022
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