Individual
DR. VIJAYA L RAVINDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3033 WINKLER AVENUE EXT, VA OPC, FORT MYERS, FL 33916-9413
(239) 939-3939
(239) 931-6107
Mailing address
15160 HARBOUR ISLE DR APT 701, FORT MYERS, FL 33908-6846
(239) 939-3939
(239) 931-6107
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
23211
FL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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