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Organization

RAYMOND D.HANSEN M D P.A

Active
Other names
Raymond D. Hansen M D P.A
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND. DANIEL HANSEN M.D. (OWNER)
(727) 736-2513
Entity
Organization

Contact information

Practice address
1972 BAYSHORE BLVD, DUNEDIN, FL 34698-2577
(727) 736-2513
(727) 734-4701
Mailing address
1972 BAYSHORE BLVD, DUNEDIN, FL 34698-2577
(727) 736-2513
(727) 734-4701

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052445000
FL
Enumeration date
10/11/2007
Last updated
07/21/2022
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