Individual
DR. CHARLES WILLIAM RAUDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8333 N DAVIS HWY FL 9, PENSACOLA, FL 32514-6050
(850) 969-7979
(850) 969-1839
Mailing address
8333 N DAVIS HWY FL 9, PENSACOLA, FL 32514-6050
(850) 969-7979
(850) 969-1839
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
238582
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2525
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
OS18908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02738241
—
NY
05
—
1043263783
—
VA
01
—
P01227008
RAILROAD MEDICARE
TN
05
—
Q001730
—
TN
Enumeration date
05/17/2006
Last updated
03/28/2024
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