Samlal, Ravi

Samlal, Ravi is an individual health care provider with primary practice located at 12470 Telecom Dr Ste 300W , Temple Terrace FL 33637-0904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Samlal, Ravi can be contacted via phone (813) 871-8200.

Contact Information

Primary practice address
12470 Telecom Dr Ste 300W Temple Terrace FL 33637-0904
Phone: (813) 871-8200
Fax: (813) 357-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS11781 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X OS11781 Florida

Profile Details

NPI number 1083928592
LBN Legal business name Samlal, Ravi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083928592 NPPES
Florida MEDICAID 012540200
Florida Other OS11781
Florida Other P01768777
Florida Other 14W85

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