Mis, Raymond J
Mis, Raymond J is an individual health care provider with primary practice located at 1400 N Us Highway 441 Ste 810 , The Villages FL 32159-8987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mis, Raymond J can be contacted via phone (352) 674-8700.Contact Information
Primary practice address
1400 N Us Highway 441 Ste 810
The Villages FL 32159-8987
Phone: (352) 674-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DO15999 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DO00442 | Rhode Island |
Profile Details
| NPI number | 1023014735 |
|---|---|
| LBN Legal business name | Mis, Raymond J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Feb 27th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023014735 | NPPES |
| Rhode Island | MEDICAID | 9003105 |
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