Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MFC1839 | FL |
NPI | 1013597947 |
---|---|
Provider Name | Ramin Daneshvar |
First Address | Gainesville, FL 32610-3003 |
Second Address | Gainesville, FL 32605-4305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2021 |
Last Update Date | 01/06/2021 |