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NPI Code Detail

MEDICARE: DR. PAUL A RASKAUSKAS M.D.

MEDICARE:  DR. PAUL A RASKAUSKAS  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
1207W00000XOphthalmology PhysicianME0060400FL
2207WX0107XRetina Specialist (Ophthalmology) PhysicianME0060400FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180022164OTHERFLRAILROAD MEDICARE
4CA7010OTHERFLRAILROAD MEDICARE GROUP

Other Identifiers

General Provider Information

NPI Number : 1790744746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL A RASKAUSKAS M.D.
Provider Business Mailing Address
First Line : 6901 INTERNATIONAL CENTER BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-7125
Country : US
Telephone Number : 239-939-4323
Fax Number : 239-939-3983
Provider Business Practice Location Address
First Line : 6901 INTERNATIONAL CENTER BLVD
Second Line :
City : FT MYERS
State : FL
Zip : 33912-7125
Country : US
Telephone Number : 239-939-4323
Fax Number : 239-939-3983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 12/01/2017

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Directions to “ DR. PAUL A RASKAUSKAS M.D.” Practice Location

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