Healthcare Provider Details

I. General information

NPI: 1184112492
Provider Name (Legal Business Name): RAVI CHOXI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2018
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 11TH CT STE 202
VERO BEACH FL
32960-5012
US

IV. Provider business mailing address

3901 COAST VIEW PT APT 342
VERO BEACH FL
32960-6165
US

V. Phone/Fax

Practice location:
  • Phone: 772-226-4830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberOS23919
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: