| Moti Ramgopal Mdpa | |
|
356 E Midway Rd Fort Pierce FL 34982-7148 | |
| (772) 464-9746 | |
| (772) 464-9750 |
| Full Name | Moti Ramgopal Mdpa |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 356 E Midway Rd, Fort Pierce, Florida |
| Authorized Official Name and Position | Moti Ramgopal (CEO) |
| Authorized Official Contact | 7724649746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moti Ramgopal Mdpa 10302 S Federal Hwy Ste 265 Port St Lucie FL 34952-5605 Ph: (772) 464-9746 | Moti Ramgopal Mdpa 356 E Midway Rd Fort Pierce FL 34982-7148 Ph: (772) 464-9746 |
| NPI Number | 1447544408 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447544408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME70180 (Florida) | Primary |
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