Raimondo, Louis J
Raimondo, Louis J is an individual health care provider with primary practice located at 595 W Granada Blvd Suite 2E, Ormond Beach FL 32174-5190. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Raimondo, Louis J can be contacted via phone (386) 672-4222.Contact Information
Primary practice address
595 W Granada Blvd Suite 2E
Ormond Beach FL 32174-5190
Phone: (386) 672-4222
Fax: (386) 672-8855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | ME0056503 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME0056503 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | ME0053503 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME0056503 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | ME0056503 | Florida |
Profile Details
| NPI number | 1679580195 |
|---|---|
| LBN Legal business name | Raimondo, Louis J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 23rd, 2013 - about 11 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 | 1679580195 | NPPES |
| Florida | MEDICAID | 061961200 |
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