Individual
NIRAV Y. RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 N ORANGE AVE, SUITE 600, ORLANDO, FL 32804-5505
(407) 303-2172
(407) 303-0678
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
054496
GA
207RC0000X
Cardiovascular Disease Physician
Primary
ME 116401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346673887EFGIJKL
—
GA
Enumeration date
07/19/2005
Last updated
05/15/2024
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