Individual
EDWIDGE L RAOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3512 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118-7639
(386) 767-9544
(386) 756-0501
Mailing address
1885 CARRIN ST, DELTONA, FL 32738-7714
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME79247
FL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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