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NPI Code Detail

MEDICARE: MR. RAYMOND M BODEE D.C

MEDICARE:  MR. RAYMOND M BODEE  D.C
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
1111N00000XChiropractorCH9048FL

General Provider Information

NPI Number : 1356665277
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND M BODEE D.C
Provider Business Mailing Address
First Line : 2180 CENTRAL FLORIDA PKWY STE A5
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8900
Country : US
Telephone Number : 407-851-4593
Fax Number : 407-851-4595
Provider Business Practice Location Address
First Line : 2180 CENTRAL FLORIDA PKWY STE A5
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8900
Country : US
Telephone Number : 407-851-4593
Fax Number : 407-851-4593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2010
Last Update Date : 03/22/2010

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Directions to “ MR. RAYMOND M BODEE D.C” Practice Location

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