Carrelle, Raymond

Carrelle, Raymond is an individual health care provider with primary practice located at 24810 Burnt Pine Dr Ste 3 , Bonita Springs FL 34134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carrelle, Raymond can be contacted via phone (239) 992-4444.

Contact Information

Primary practice address
24810 Burnt Pine Dr Ste 3 Bonita Springs FL 34134
Phone: (239) 992-4444
Fax: (239) 992-4400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 218930 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0083026 Florida

Profile Details

NPI number 1104900034
LBN Legal business name Carrelle, Raymond
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Sep 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104900034 NPPES
New York MEDICAID 02164327

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