Organization
RAULERSON GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRADFIELD (AUTHORIZE OFFICIAL)
(863) 763-8000
Entity
Organization
Contact information
Practice address
1713 HIGHWAY 441 NORTH, SUITE F, OKEECHOBEE, FL 34972
(863) 763-8000
(863) 763-8212
Mailing address
THREE MARYLAND, SUITE 250, BRENTWOOD, TN 37027
(615) 372-5024
(866) 899-5924
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000640400
—
FL
Enumeration date
01/23/2008
Last updated
05/06/2009
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