Individual
MR. RAVINDRANAUTH JAMWANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5151 WINTER GARDEN VINELAND RD, WINDERMERE, FL 34786-6098
(407) 298-6950
(321) 843-6316
Mailing address
5151 WINTER GARDEN VINELAND RD, WINDERMERE, FL 34786-6098
(407) 298-6950
(321) 843-6316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009818
NY
363A00000X
Physician Assistant
PA9103928
FL
363AM0700X
Medical Physician Assistant
Primary
PA9103928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123295200
—
FL
Enumeration date
05/27/2006
Last updated
09/18/2024
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