Organization
RAUL B ZELAYA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL B ZELAYA M.D. (PRESDIENT)
(386) 752-6506
Entity
Organization
Contact information
Practice address
1188 SW MAIN BLVD, LAKE CITY, FL 32025-6684
(386) 752-6506
(386) 752-6508
Mailing address
1188 SW MAIN BLVD, LAKE CITY, FL 32025-6684
(386) 752-6506
(386) 752-6508
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME34230
FL
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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