Zimmerman, Raul L

Zimmerman, Raul L is an individual health care provider with primary practice located at 3800 Woodbriar Trl , Port Orange FL 32129-9626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Zimmerman, Raul L can be contacted via phone (386) 425-8720.

Contact Information

Primary practice address
3800 Woodbriar Trl Port Orange FL 32129-9626
Phone: (386) 425-8720
Fax: (386) 322-4720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME64669 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X ME64669 Florida

Profile Details

NPI number 1154409431
LBN Legal business name Zimmerman, Raul L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jan 13th, 2017 - about 7 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 1154409431 NPPES
Florida MEDICAID 374118400

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