Organization
RAETTE D HALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAETTE D HALL PA-C (PHYSICIAN ASSISTANT)
(941) 504-7722
Entity
Organization
Contact information
Practice address
3443 RECURVE CIR, SARASOTA, FL 34240-8747
(941) 504-7722
Mailing address
3443 RECURVE CIR, SARASOTA, FL 34240-8747
(941) 504-7722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/13/2024
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