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1760438048
SCOTT BRUCE RAVEDE
ORANGE CITY, FL
NPI
1760438048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL OS5559)
Enumeration Date
2006-05-26
Last Update Date
2009-08-03
Business Address
-- SCOTT BRUCE RAVEDE DO
1055 SAXON BLVD
ORANGE CITY, FL 32763-8468
Phone number: 386-943-4522
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Mailing Address
-- SCOTT BRUCE RAVEDE DO
PO BOX 9430
DAYTONA BEACH, FL 32120-9430
Phone number:
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