Organization
MUTTATHIL P RAVINDRA NATHAN MD PA
Active
Other names
Hernando Heart Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MUTTATHIL P RAVINDRA NATHAN M.D. (PRESIDENT)
(352) 597-3353
Entity
Organization
Contact information
Practice address
14540 CORTEZ BLVD, SUITE 119, BROOKSVILLE, FL 34613-6056
(352) 597-3353
Mailing address
3069 ANDERSON SNOW RD # 219, SPRING HILL, FL 34609-5202
(352) 597-3353
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27591600
—
FL
Enumeration date
07/10/2006
Last updated
11/03/2010
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