Rasberry, Ronald Lee

Rasberry, Ronald Lee is an individual health care provider with primary practice located at 1095 Nw Saint Lucie West Blvd , Port St Lucie FL 34986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rasberry, Ronald Lee can be contacted via phone (772) 785-5570.

Contact Information

Primary practice address
1095 Nw Saint Lucie West Blvd Port St Lucie FL 34986
Phone: (772) 785-5570
Fax: (772) 785-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME135229 Florida

Profile Details

NPI number 1861888133
LBN Legal business name Rasberry, Ronald Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2015
Last updated Jun 27th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861888133 NPPES
Florida Other 5EGYY FLORIDA BLUE

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