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1184696221
BRIAN D RAYMAKER
ST AUGUSTINE, FL
NPI
1184696221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME100738)
Enumeration Date
2006-02-03
Last Update Date
2020-08-05
Business Address
BRIAN D RAYMAKER MD
105 MARINER HEALTH WAY STE 203
ST AUGUSTINE, FL 32086-3251
Phone number: 904-342-2989
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Mailing Address
BRIAN D RAYMAKER MD
PO BOX 3123
ST AUGUSTINE, FL 32085-3123
Phone number:
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