Doctor Name: | JUAN L. RAVELO |
NPI Number: | 1356384804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME33374 |
Business Practice Address: | 1800 Mercy Dr Suite 200 Orlando, FL - 328085646 |
Business Phone Number: | 4079058827 |
Business Fax Number: | 4072093220 |
Mailing Address: | 110 S Woodland St, WINTER GARDEN |
State: | FL |
Postal Code: | 347873546 |
Phone Number: | 4079058827 |
Fax Number: | 4072093220 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 02/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME33374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |