Organization
LOUIS J RASO M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS J. RASO M.D. (OWNER)
(561) 741-1588
Entity
Organization
Contact information
Practice address
2141 S ALTERNATE A1A STE 110, JUPITER, FL 33477-4063
(561) 741-1588
(561) 741-1123
Mailing address
2141 S ALTERNATE A1A STE 110, JUPITER, FL 33477-4063
(561) 741-1588
(561) 741-1123
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME57349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063392500
—
FL
01
—
11358
BCBS OF FLORIDA
FL
01
—
4323668
AETNA
FL
01
—
ME57349
MEDICAL LICENSE
FL
Enumeration date
03/20/2007
Last updated
03/12/2015
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