Individual
RAUL B ZELAYA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1188 SW MAIN BLVD, LAKE CITY, FL 32025-6684
(386) 752-6506
(386) 752-6508
Mailing address
1188 SW MAIN BLVD, LAKE CITY, FL 32025-6684
(386) 752-6506
(386) 752-6508
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 34230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96003
BCBS
—
Enumeration date
07/14/2005
Last updated
07/08/2007
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