Zelaya, Raul B

Zelaya, Raul B is an individual health care provider with primary practice located at 1188 Sw Main Blvd , Lake City FL 32025-6684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Zelaya, Raul B can be contacted via phone (386) 752-6506.

Contact Information

Primary practice address
1188 Sw Main Blvd Lake City FL 32025-6684
Fax: (386) 752-6508
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME 34230 Florida

Profile Details

NPI number 1366440125
LBN Legal business name Zelaya, Raul B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 8th, 2007 - about 15 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 1366440125 NPPES
Other 96003 BCBS

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