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Individual

DR. JOHN M. RAYHACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4728 N HABANA AVE, STE 204, TAMPA, FL 33614-7147
(813) 879-7478
(813) 879-9999
Mailing address
4728 N HABANA AVE, STE 204, TAMPA, FL 33614-7147
(813) 879-7478
(813) 879-9999

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME0034738
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0560100001
MEDICARE DME
Enumeration date
06/24/2005
Last updated
08/30/2013
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