Pitt, Raquel F

Pitt, Raquel F is an individual health care provider with primary practice located at 1925 Mizell Ave Ste 205 , Winter Park FL 32792-4155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pitt, Raquel F can be contacted via phone (407) 646-7045.

Contact Information

Primary practice address
1925 Mizell Ave Ste 205 Winter Park FL 32792-4155
Phone: (407) 646-7045
Fax: (407) 646-7035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101339 Florida

Profile Details

NPI number 1750370417
LBN Legal business name Pitt, Raquel F
Credentials PA-C MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Aug 1st, 2012 - about 12 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 1750370417 NPPES
Florida MEDICAID 2912465-00

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