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Dr. Muttathil P Ravindranathan, MD
Specialist in Brooksville, Florida
NPI 1700851813

Muttathil P Ravindranathan is a Specialist based in Brooksville, FL. Muttathil P Ravindranathan practices in Brooksville, FL and has the professional credentials of MD. The NPI Number for Muttathil P Ravindranathan is 1700851813 and holds a License No. ME0027078 (Florida).

The current practice location address for Muttathil P Ravindranathan is 14540 Cortez Blvd, Brooksville, FL and can be reached out via phone at 352-597-3353 and via fax at 352-597-3368.

Location: 14540 Cortez Blvd, Brooksville, FL, 34613-6056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700851813
Provider Name
Muttathil P Ravindranathan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14540 Cortez Blvd, Brooksville, FL, 34613-6056
Phone Number
352-597-3353
Fax Number
352-597-3368
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
065827800 05 FL
institution
Provider Business Practice Location Address Details
Address
14540 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-6056
Phone Number
352-597-3353
Fax Number
352-597-3368
person
Provider Business Mailing Address Details
Address
14540 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-6056
Phone Number
352-597-3353
Fax Number
352-597-3368
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0027078 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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