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NPI Code Detail

MEDICARE: MR. RAYMOND A. DADALT R.PH., M.P.H., J.D.

MEDICARE:  MR. RAYMOND A. DADALT  R.PH., M.P.H., J.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
1183500000XPharmacistPS36511FL

General Provider Information

NPI Number : 1336205459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND A. DADALT R.PH., M.P.H., J.D.
Provider Business Mailing Address
First Line : 1800 ATLANTIC BLVD APT C324
Second Line :
City : KEY WEST
State : FL
Zip : 33040-5379
Country : US
Telephone Number : 305-294-0658
Fax Number :
Provider Business Practice Location Address
First Line : 2778 N ROOSEVELT BLVD
Second Line :
City : KEY WEST
State : FL
Zip : 33040-3930
Country : US
Telephone Number : 305-294-0658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2007
Last Update Date : 07/08/2007

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Directions to “ MR. RAYMOND A. DADALT R.PH., M.P.H., J.D.” Practice Location

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