IndividualActive
Gayan Poovendran, MD
NPI 1083935100 · Sports Medicine (Family Medicine) Physician · Davie, FL
Provider details
- NPI number
- 1083935100
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME121381 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10650 W State Road 84 Ste 111
Davie, FL 33324-4235
Phone: (305) 209-1951
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 162743
Altamonte Springs, FL 32716-2743
Registry dates
- Enumerated
- 2010-06-14
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.