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1912161340
JOSE RAPHAEL G TAMAYO
JACKSONVILLE BEACH, FL
NPI
1912161340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME 108621)
Enumeration Date
2008-07-15
Last Update Date
2018-12-24
Business Address
JOSE RAPHAEL G TAMAYO MD
1127 16TH AVE S
JACKSONVILLE BEACH, FL 32250-3213
Phone number: 904-247-7778
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Mailing Address
JOSE RAPHAEL G TAMAYO MD
PO BOX 45443
SALT LAKE CITY, UT 84145-0443
Phone number: 904-202-1032
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