Individual
JERRY RAGNAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1530 CITRUS MEDICAL CT STE 101, OCOEE, FL 34761-4548
(407) 622-7246
(407) 599-7246
Mailing address
5365 W ATLANTIC AVE STE 504, DELRAY BEACH, FL 33484-8194
(561) 241-9300
(561) 241-9339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3325482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U3241T
MEDICARE PTAN
FL
01
—
U3241U
MEDICARE PTAN
FL
01
—
U3241V
MEDICARE PTAN
FL
Enumeration date
01/11/2006
Last updated
01/28/2022
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