Individual
RAUL H TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 597-7083
(352) 597-3095
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(352) 597-7083
(352) 597-3095
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
ME40235
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME40235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035566600
—
FL
Enumeration date
08/21/2006
Last updated
11/08/2024
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