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Contact Information

RAULERSON GYN LLC
1713 HIGHWAY 441 NORTH
SUITE F
OKEECHOBEE, FL34972
 Phone: 863-763-8000
 Fax: 863-763-8212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for RAULERSON GYN LLC

NPI # 1356528210
LBN Legal business name RAULERSON GYN LLC
Authorized official JAMES BRADFIELD - (AUTHORIZE OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2008
Last updated 05/06/2009 - About 17 years ago
Identifiers
FL Medicaid 000640400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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