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1114369055
NIVALI RAVI
ST AUGUSTINE, FL
NPI
1114369055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME120790)
Enumeration Date
2013-07-19
Last Update Date
2015-06-30
Business Address
Dr. NIVALI RAVI M.D
665 STATE ROAD 207 SUITE 102
ST AUGUSTINE, FL 32084-5938
Phone number: 904-824-8158
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Mailing Address
Dr. NIVALI RAVI M.D
PO BOX 551308
JACKSONVILLE, FL 32255-1308
Phone number: 904-622-9035
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