Individual
DR. MICHAEL E RAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
501 HARBOR BLVD, SUITE D, DESTIN, FL 32541-2348
(850) 837-9161
(850) 837-9162
Mailing address
501 HARBOR BLVD, SUITE D, DESTIN, FL 32541-2348
(850) 837-9161
(850) 837-9162
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC0001111
FL
152WX0102X
Occupational Vision Optometrist
OPC0001111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245500677
ORGANIZATION NPI
FL
Enumeration date
06/28/2006
Last updated
01/05/2017
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