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NPI Code Detail

MEDICARE: HARSHA S RAVAL PHARMD

MEDICARE: HARSHA S RAVAL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS36898FL

General Provider Information

NPI Number : 1306895297
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARSHA S RAVAL PHARMD
Provider Business Mailing Address
First Line : 11706 BELLA MILANO CT
Second Line :
City : WINDERMERE
State : FL
Zip : 34786-6059
Country : US
Telephone Number : 407-340-4431
Fax Number :
Provider Business Practice Location Address
First Line : 2900 N COMMERCE PKWY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3959
Country : US
Telephone Number : 786-362-8253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 08/20/2020

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