MEDICARE: RAUL B ZELAYA MD

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	207X00000X	Orthopaedic Surgery Physician	ME 34230	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	96003	OTHER		BCBS

General Provider Information

NPI Number	:	1366440125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAUL B ZELAYA MD

Provider Business Mailing Address
First Line	:	1188 SW MAIN BLVD
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-6684
Country	:	US
Telephone Number	:	386-752-6506
Fax Number	:	386-752-6508

Provider Business Practice Location Address
First Line	:	1188 SW MAIN BLVD
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-6684
Country	:	US
Telephone Number	:	386-752-6506
Fax Number	:	386-752-6508

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1245235183 — HEALTHWORKS OF LAKE CITY, INC.
Practice Location Address:

1206 SW MAIN BLVD , STE 101
LAKE CITY, FL
32025-6684

Practice Phone: 386-752-1652
Practice Fax: 386-752-0939

1750365706 — LAKE CITY MGT LLC
Practice Location Address:

1270 SW MAIN BLVD
LAKE CITY, FL
32025-6684

Practice Phone: 386-752-7900
Practice Fax: 386-752-8556

1235151234 — MR. MATTHEW THOMAS GRUBB L.M.T.
Practice Location Address:

1206 SW MAIN BLVD , SUITE 103
LAKE CITY, FL
32025-6684

Practice Phone: 386-719-2500
Practice Fax: 386-719-2500

1669496121 — MRS. JAMIE LYNN GRUBB L.M.T.
Practice Location Address:

1206 SW MAIN BLVD , SUITE 103
LAKE CITY, FL
32025-6684

Practice Phone: 386-719-2500
Practice Fax: 386-719-2500

1386782175 — JEAN-FELERT CADET MD, PA
Practice Location Address:

1226 SW MAIN BLVD
LAKE CITY, FL
32025-6684

Practice Phone: 386-719-6843
Practice Fax: 386-719-6656

1427279736 — MICHAEL A BEARDSLEY P.T.
Practice Location Address:

1206 SW MAIN BLVD , SUITE 101
LAKE CITY, FL
32025-6684

Practice Phone: 386-752-1652
Practice Fax: 386-752-0939

Directions to “ RAUL B ZELAYA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.