Individual
LOUIS J RAIMONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 W GRANADA BLVD, SUITE 2E, ORMOND BEACH, FL 32174-5190
(386) 672-4222
(386) 672-8855
Mailing address
595 W GRANADA BLVD, SUITE 2E, ORMOND BEACH, FL 32174-5190
(386) 672-4222
(386) 672-8855
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
ME0056503
FL
2084P0800X
Psychiatry Physician
Primary
ME0056503
FL
2084P0802X
Addiction Psychiatry Physician
ME0053503
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME0056503
FL
2084P0805X
Geriatric Psychiatry Physician
ME0056503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061961200
—
FL
Enumeration date
08/01/2006
Last updated
01/23/2013
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