Individual
MR. RAYMOND MAURICE SHULSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
14521 UNIVERSITY POINT PL, TAMPA, FL 33613-5424
(813) 977-3600
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3352202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00126263
RAILROAD MEDICARE
FL
Enumeration date
02/08/2007
Last updated
12/27/2016
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