Edwidge L Raoul
Pain Medicine
3512 S Atlantic Ave
Daytona Beach Shores
, Florida 32118-7639
Edwidge L Raoul
Pain Medicine
3512 S Atlantic Ave
Daytona Beach Shores
, Florida 32118-7639
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Edwidge L Raoul
- 1885 Carrin St
- Deltona, FL
- Zip : 32738-7714
- Phone :
Second Address
- Edwidge L Raoul
- 3512 S Atlantic Ave
- Daytona Beach Shores, FL
- Zip : 32118-7639
- Fax : (386) 756-0501
- Phone : (386) 767-9544
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Is Edwidge L Raoul a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | ME79247 | FL |
National Provider Identifier
| NPI | 1417089160 |
|---|---|
| Provider Name | Edwidge L Raoul |
| First Address | Deltona, FL 32738-7714 |
| Second Address | Daytona Beach Shores, FL 32118-7639 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.