Raders, James L

Raders, James L is an individual health care provider with primary practice located at 1421 Malabar Rd Ne Ste 245 , Melbourne FL 32907-2586. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Raders, James L can be contacted via phone (321) 434-8210.

Contact Information

Primary practice address
1421 Malabar Rd Ne Ste 245 Melbourne FL 32907-2586
Phone: (321) 434-8210
Fax: (321) 434-8211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 29481 Minnesota
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME111294 Florida
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X ME111294 Florida

Profile Details

NPI number 1548278245
LBN Legal business name Raders, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Dec 5th, 2022 - about 2 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 1548278245 NPPES
Florida MEDICAID 107501500
Florida MEDICAID 478877000
Florida Other MR643
Florida Other P02572457

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