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Mikhail Semyonovich Ravvin

Anesthesiology

Allopathic & Osteopathic Physicians

2010 59th St W, Ste 5600, Bradenton, FL 34209-4686

PECOS Enrollment

This provider is enrolled in PECOS as MIKHAIL RAVVIN.

Based on the most recent information from CMS, provider Mikhail Semyonovich Ravvin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1194788745
Provider Type
Individual
Full Name
Ravvin, Mikhail Semyonovich
Title
Dr.

Credential
M.D.
Gender
Male
Enumeration Date
4/6/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2010 59th St W, Ste 5600, Bradenton, FL 34209-4686

(941) 798-3524

Unlisted Fax

Mailing Location

PO Box 552106, Tampa, FL 33655-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License ME89806 Florida

Mikhail Semyonovich Ravvin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Code

Description

License

Code

Description

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