# DR. MICHAEL E. RAIM OD P.A. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245500677
- **Authorized official:** DR. MICHAEL E. RAIM O.D. (PRESIDENT)
- **Authorized official phone:** (850) 837-9161

## Contact information

- **Practice address:** 501 HARBOR BLVD, SUITE D, DESTIN, FL 32541-2348
- **Practice address phone:** (850) 837-9161
- **Practice address fax:** (850) 837-9162
- **Mailing address:** 501 HARBOR BLVD, SUITE D, DESTIN, FL 32541-2348
- **Mailing address phone:** (850) 837-9161
- **Mailing address fax:** (850) 837-9162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | OC0001111 | FL | Yes |

## Other

- **Enumeration date:** 01/02/2012
- **Last updated:** 04/19/2012