Tamayo, Raul E.
Tamayo, Raul E. is an sole proprietor health care provider with primary practice located at 1325 S International Pkwy Suite 2241, Lake Mary FL 32746-1695. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tamayo, Raul E. can be contacted via phone (407) 636-9663.Contact Information
Primary practice address
1325 S International Pkwy Suite 2241
Lake Mary FL 32746-1695
Phone: (407) 636-9663
Fax: (407) 636-9664
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0050911 | Florida |
Profile Details
NPI number | 1568437689 |
---|---|
LBN Legal business name | Tamayo, Raul E. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 22nd, 2006 |
Last updated | Oct 28th, 2015 - about 10 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 | 1568437689 | NPPES |
Florida | Other | ME0050911 | MEDICAL LICENSE |
Florida | Other | 04355 | MEDICAL LICENSE |
Florida | MEDICAID | 061699100 | MEDICAL LICENSE |
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