Individual
RAVINDRA PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA LSA
Contact information
Practice address
3543 SHAWN ST, PORT CHARLOTTE, FL 33980-8660
(470) 295-7782
Mailing address
3543 SHAWN ST, PORT CHARLOTTE, FL 33980-8660
(470) 295-7782
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3858
GA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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