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Organization
RAYVILLE FAMILY CLINIC LLC
Active
Organization
RAYVILLE FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH F SYLVESTRI SR. (OWNER)
(318) 728-8833
Entity
Organization
Contact information
Practice address
1962 JULIA ST, RAYVILLE, LA 71269-5527
(318) 728-8833
(318) 728-8940
Mailing address
PO BOX 658, RAYVILLE, LA 71269-0658
(318) 728-8833
(318) 728-8940
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
157
LA
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/15/2009
Last updated
01/17/2012
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