Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | ME119278 | FL |
NPI | 1023172087 |
---|---|
Provider Name | Ragai Meena |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33966-4818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012583800 | (05) | FL |
02892184 | (05) | NY |