Individual
DR. VINOD K RAXWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14100 FIVAY RD STE 130, HUDSON, FL 34667-7159
(727) 857-4871
(727) 857-4894
Mailing address
5400 PINEHURST DR, SPRING HILL, FL 34606-3833
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME101179
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME101179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000278100
—
FL
01
—
61908
BCBS FL
FL
01
—
ME101179
STATE MEDIAL LICENSE
FL
Enumeration date
07/30/2006
Last updated
06/03/2024
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