Individual
SAMUEL FITZSIMONS RAVENEL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6671 CAROLINE ST, MILTON, FL 32570-4781
(850) 981-9433
(850) 981-9436
Mailing address
2315 W JACKSON ST, PENSACOLA, FL 32505-7552
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME128058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017919600
—
FL
01
—
KD915
MCR FL
FL
01
—
M8P04
BCBS FL
FL
Enumeration date
05/24/2006
Last updated
04/07/2026
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