Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAIMAH PRIMARY CARE CENTER PA
Active OrganizationRAIMAH PRIMARY CARE CENTER PA is a Adolescent Medicine organization located in LAKE CITY, Florida. NPI 1174719629 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LAKE CITY, FL
Registration Details
- NPI Number
- 1174719629
- Provider Type
- Organization
- NPI Issued
- Sep 19, 2007 (18.935489253469 yrs)
- Last Updated
- Dec 11, 2012
- License
-
ME85010 (FL)
Practice Information
- Address
-
1283 SW STATE ROAD 47103LAKE CITY, FL, 320250489Browse FL providers · Browse ZIP 32025
- Phone
- 3867540339
- Fax
- 3867540393
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.