| Organization Name: | RAYVILLE FAMILY CLINIC LLC |
| NPI Number: | 1366672016 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH F SYLVESTRI (OWNER) |
| Mailing Address: | 1962 Julia St Rayville |
| State: | LA US |
| Postal Code: | 712695527 |
| Phone Number: | 3187288833 |
| Fax Number: | 3187288940 |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 01/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |