Raimah Primary Care Center PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME85010 Issued in FL

Legal business name

RAIMAH PRIMARY CARE CENTER PA

Practice address

1283 SW State Road 47
103
Lake City, FL 32025-0489

Phone

(386) 754-0339

Fax

(386) 754-0393

NPI assigned

Sep 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marie Raime, MD

Title

Doctor

Phone

(386) 754-0339

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1174719629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 SW STATE ROAD 47",
            "address_2": "SUITE103",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250489",
            "telephone_number": "386-754-0339",
            "fax_number": "386-754-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 SW STATE ROAD 47",
            "address_2": "103",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250489",
            "telephone_number": "386-754-0339",
            "fax_number": "386-754-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAIMAH PRIMARY CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "RAIME",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "386-754-0339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME85010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264300600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis A Quinones, M.D.
• Carlos Quintero, M.D.
• Radiology Associates of Lake City PA
• Larry Fredric Radke, D.C.
• Beth Ann M Raga
• Marie Raime, M.D
• Rajani Ravindra MD
• Parvathamma - Rajasekhar, M.D
• Ramkissoon Weiss Dental PLLC
• Johann Ramkissoon, DMD

• Adult Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.