Edwidge L Raoul (NPI# 1417089160, PAC ID# 4688697741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1417089160 |
| PAC ID by PECOS | 4688697741 |
| Professional Enrollment ID | I20060104000725 |
| Full Name | Edwidge L Raoul |
| Address |
264 S Atlantic Ave Ormond Beach FL 32176-8149 |
| Phone Number | 3866764222 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100118 | FLORIDA HOSPITAL FLAGLER |
| Address | Phone | Organization |
|---|---|---|
| 264 S Atlantic Ave, Ormond Beach, FL 32176-8149 | 3866764222 |
| Street Address |
264 S ATLANTIC AVE |
| City | ORMOND BEACH |
| State | FL |
| Zip | 32176-8149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt F Scherer | Diagnostic Radiology | Florida Hospital Medical Group Inc | 264 S Atlantic Ave, Ormond Beach, FL 32176-8149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Hope | Clinical Social Worker | 152 Holland Rd, Ormond Beach, FL 32176-3205 | |
| George L Ehringer | Internal Medicine | Florida Health Care Plan Inc | 1182 Ocean Shore Blvd, Ormond Beach, FL 32176-3799 |
| Richard D Potts | Family Medicine | 125 Ocean Shore Blvd, Ormond Beach, FL 32176-5734 | |
| Donald Charles Johnson Jr. | Podiatry | East Coast Podiatry Inc | 233 Osceola Ave, Ormond Beach, FL 32176-6638 |
| Amanda M Kohut | Podiatry | East Coast Podiatry Inc | 233 Osceola Ave, Ormond Beach, FL 32176-6638 |
| Lisa Ann Farrar | Podiatry | East Coast Podiatry Inc | 233 Osceola Ave, Ormond Beach, FL 32176-6638 |
| Melissa Gad | Nurse Practitioner | 198 Vining Ct, Suite 5, Ormond Beach, FL 32176-6658 | |
| Kathleen Link | Chiropractic | Kathleen Link Dc Pa | 190 Vining Ct, Ormond Beach, FL 32176-6658 |
| City | ORMOND BEACH |
| Zip Code | 32176 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | ORMOND BEACH + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Edwidge L Raoul.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.