Dr. Gayan Poovendran
Family Doctor - Sports Medicine
2825 N State Road 7 Ste 204
Margate
, Florida 33063-5737
Dr. Gayan Poovendran
Family Doctor - Sports Medicine
2825 N State Road 7 Ste 204
Margate
, Florida 33063-5737
(954) 530-5096
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Gayan Poovendran
- Po Box 162743
- Altamonte Springs, FL
- Zip : 32716-2743
- Fax : (954) 530-5096
- Phone : (954) 580-4084
Second Address
- Dr. Gayan Poovendran
- 2825 N State Road 7 Ste 204
- Margate, FL
- Zip : 33063-5737
- Phone : (954) 580-4080
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Is Dr. Gayan Poovendran a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | ME121381 | FL |
National Provider Identifier
| NPI | 1083935100 |
|---|---|
| Provider Name | Dr. Gayan Poovendran |
| First Address | Altamonte Springs, FL 32716-2743 |
| Second Address | Margate, FL 33063-5737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2010 |
| Last Update Date | 14/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E59294 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.