Radanovich, Raymond Paul
Radanovich, Raymond Paul is an individual health care provider with primary practice located at 1803 Miccosukee Commons Dr , Tallahassee FL 32308-7403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Radanovich, Raymond Paul can be contacted via phone (850) 942-6624.Contact Information
Primary practice address
1803 Miccosukee Commons Dr
Tallahassee FL 32308-7403
Phone: (850) 942-6624
Fax: (850) 942-6958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | OS9673 | Florida |
Profile Details
| NPI number | 1932184652 |
|---|---|
| LBN Legal business name | Radanovich, Raymond Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Oct 22nd, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932184652 | NPPES |
| Florida | MEDICAID | 279364400 |
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