| Raimah Primary Care Center Pa | |
|
1283 Sw State Road 47 103 Lake City FL 32025-0489 | |
| (386) 754-0339 | |
| (386) 754-0393 |
| Full Name | Raimah Primary Care Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1283 Sw State Road 47, Lake City, Florida |
| Authorized Official Name and Position | Marie Raime (DOCTOR) |
| Authorized Official Contact | 3867540339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raimah Primary Care Center Pa 1283 Sw State Road 47 Suite103 Lake City FL 32025-0489 Ph: (386) 754-0339 | Raimah Primary Care Center Pa 1283 Sw State Road 47 103 Lake City FL 32025-0489 Ph: (386) 754-0339 |
| NPI Number | 1174719629 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 12/11/2012 |
| Medicare PECOS PAC ID | 8527088590 |
|---|---|
| Medicare Enrollment ID | O20051206000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174719629 | NPI | - | NPPES |
| 264300600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME85010 (Florida) | Primary |
| Provider Name | Marie Raime |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407884018 PECOS PAC ID: 7416915350 Enrollment ID: I20041227000029 |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
Internal Medicine Of Lake City , Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025 Phone: 386-755-1703 Fax: 386-755-1744 | |
Randolph Medical Practices Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1847 Sw Barnett Way, Lake City, FL 32025 Phone: 386-755-1440 Fax: 386-758-5628 | |
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