Individual
DR. RAYMOND BERNARD MAILHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
2015 JEFFERSON ST, JACKSONVILLE, FL 32206
(904) 588-1800
(904) 588-1300
Mailing address
PO BOX 116304, ATLANTA, GA 30368-6304
(908) 588-1800
(904) 588-1300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME136071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME136071
STATE MEDICAL LICENSE
FL
Enumeration date
06/22/2013
Last updated
08/15/2018
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