Individual
DR. RAUL L ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 WOODBRIAR TRL, PORT ORANGE, FL 32129-9626
(386) 425-8720
(386) 322-4720
Mailing address
3800 WOODBRIAR TRL, PORT ORANGE, FL 32129-9626
(386) 425-8720
(386) 322-4720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME64669
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
ME64669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374118400
—
FL
Enumeration date
11/02/2006
Last updated
01/13/2017
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