Tak, Ravindra S.
Tak, Ravindra S. is an individual health care provider with primary practice located at 1134 Kelton Ave Suite A, Ocoee FL 34761-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tak, Ravindra S. can be contacted via phone (407) 306-6306.Contact Information
Primary practice address
1134 Kelton Ave Suite A
Ocoee FL 34761-3100
Phone: (407) 306-6306
Fax: (407) 306-6304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME63815 | Florida |
Profile Details
| NPI number | 1124017827 |
|---|---|
| LBN Legal business name | Tak, Ravindra S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Aug 5th, 2020 - about 4 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124017827 | NPPES |
| Florida | MEDICAID | 002339700 |
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