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NPI Code Detail

MEDICARE: RAQUEL ELIZABETH BAILEY RRT

MEDICARE:   RAQUEL ELIZABETH BAILEY  RRT
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
12279C0205XCritical Care Registered Respiratory TherapistRT 6484FL

General Provider Information

NPI Number : 1649362583
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL ELIZABETH BAILEY RRT
Provider Business Mailing Address
First Line : 2917 NE 19TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32609-3280
Country : US
Telephone Number : 352-335-8090
Fax Number :
Provider Business Practice Location Address
First Line : 1601 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-1135
Country : US
Telephone Number : 352-376-1611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 07/08/2007

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Directions to “ RAQUEL ELIZABETH BAILEY RRT” Practice Location

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