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Organization
NORTH RIVER FAMILY HEALTH CENTER PA
Active
Organization
NORTH RIVER FAMILY HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND L RAITZ M.D. (PRESIDENT)
(941) 722-7785
Entity
Organization
Contact information
Practice address
606 4TH AVE W, PALMETTO, FL 34221-5226
(941) 722-7785
(941) 729-5267
Mailing address
606 4TH AVE W, PALMETTO, FL 34221-5226
(941) 722-7785
(941) 729-5267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052613400
—
FL
01
—
68130
AETNA
FL
01
—
77066
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/12/2005
Last updated
07/21/2022
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