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Individual

MRS. STEPHANIE MARIE RAIMONDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-AA

Contact information

Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 493-5005
(954) 938-0957
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA 145
FL

Other

Enumeration date
10/08/2012
Last updated
11/23/2015
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