Individual
BRIAN D RAYMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 MARINER HEALTH WAY STE 203, ST AUGUSTINE, FL 32086-3251
(904) 342-2989
(904) 824-6243
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME100738
FL
Other
Enumeration date
02/03/2006
Last updated
08/05/2020
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