MEDICARE: RAVIA HEALTH LLC

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
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1821921925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAVIA HEALTH LLC

Provider Business Mailing Address
First Line	:	7630 LIVE OAK DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-6032
Country	:	US
Telephone Number	:	913-206-4062
Fax Number	:

Provider Business Practice Location Address
First Line	:	7630 LIVE OAK DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-6032
Country	:	US
Telephone Number	:	913-206-4062
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. RAASHIDA PORTIER
Credential	:	APRN
Telephone Number	:	913-206-4062

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “RAVIA HEALTH LLC ” Practice Location

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