JAYANTHI M RAVI MD

Allergy and Immunology

Windermere, Florida

Provider NPI: 1528053907

Provider Information:
 JAYANTHI M RAVI MD


Practice Location:
9111 WOODBREEZE BLVD  WINDERMERE, FL 34786 US
Tel: 407-876-1368  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	FL	ME0048846

Other Provider Identifiers:

Issuer	Number	State	Type
	372347000	FL	05
BCBS	07645	FL	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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