Doctor Name: | MR. ROBERSON RAYMOND |
NPI Number: | 1174842678 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.T., R.D.M.S. |
License Number: | 37218 |
Business Practice Address: | 4123 Arthurium Ave Lantana, FL - 334623431 |
Business Phone Number: | 5615036331 |
Business Fax Number: | |
Mailing Address: | 4123 Arthurium Ave, LANTANA |
State: | FL |
Postal Code: | 334623431 |
Phone Number: | 5615036331 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2010 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 37218 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |