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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1932184652 NPPES
Florida MEDICAID 279364400

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