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Individual

RAYMON DEAN PRIEWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6815 14TH ST W, SUITE204, BRADENTON, FL 34207-5810
(941) 758-7300
(941) 758-7334
Mailing address
6815 14TH ST W, SUITE204, BRADENTON, FL 34207-5810
(941) 758-7300
(941) 758-7334

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS5370
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629020508
NPI GROUP #
FL
01
6408040001
PTAN
FL
Enumeration date
08/11/2005
Last updated
09/15/2011
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