MEDICARE: DR. RAYMOND PILOT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME22168	FL

General Provider Information

NPI Number	:	1538264056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND PILOT M.D.

Provider Business Mailing Address
First Line	:	1854 HARBOR CIR W
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33770-4562
Country	:	US
Telephone Number	:	727-545-2339
Fax Number	:

Provider Business Practice Location Address
First Line	:	7641 66TH ST
Second Line	:	SUITE C PP
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3173
Country	:	US
Telephone Number	:	727-545-2339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/08/2007

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