Organization · Type 2 NPI

Raimah Primary Care Center PA

Adult Medicine Physician · Lake City, FL

NPI number 1174719629 Active

Practice location

1283 SW State Road 47, 103
Lake City, FL 32025-0489

Fax (386) 754-0393

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XME85010 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

5 other providers at this address

About NPI 1174719629

Raimah Primary Care Center PA's National Provider Identifier is 1174719629, issued on Sep 19, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Lake City, FL. The record was last updated on Dec 11, 2012.