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Provider Information for 1295733178

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. RAUL HOLGUIN M.D.

Gender: MALE

Individual NPI: 1295733178

Calendar   Last Updated:  2007-07-09
  Certification Date: 

Details

Name Value
NPI 1295733178
Enumeration Date 2005-07-13
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1211 JACARANDA BLVD
VENICE, FL 34292-4520
United States

Phone: 914-492-2212 | Fax: 941-496-9307
View Map External Link
Primary Practice Address 1211 JACARANDA BLVD
VENICE, FL 34292-4520
United States

Phone: 914-492-2212 | Fax: 941-496-9307
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other BC/BS GROUP # FL 41593
Other CIGNA FL 0098908001
Other UNITED HEALTH CARE FL 1360442
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL ME55506