Individual
RAYMOND ALLEN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(941) 627-6130
(941) 627-6146
Mailing address
3141 NW 63RD ST, SUITE 4, OKLAHOMA CITY, OK 73116-3788
(405) 607-1318
(405) 607-1326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS7168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57407
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/06/2006
Last updated
07/08/2007
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