Samuel Fitzsimons Ravenel Ii
MD | Pediatrics | Male
Samuel Fitzsimons Ravenel Ii, MD is a Cantonment, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Samuel Fitzsimons Ravenel Ii is
470 S Highway 29 Ste 2, Cantonment, Florida - 32533-6314. He can be contacted on phone at
850-780-0111 and fax number 850-780-0642.
Samuel Fitzsimons Ravenel Ii is a sole proprietor of his business.
NPI number (Unique professional ID) for Samuel Fitzsimons Ravenel Ii is
1184679375 which was assigned by NPPES on 24 May, 2006 and it was last updated on 24 Sep, 2019.
Samuel Fitzsimons Ravenel Ii license number is
ME128058 for Pediatrics (208000000X) in Florida.
Samuel Fitzsimons Ravenel Ii is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Samuel Fitzsimons Ravenel Ii basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Samuel Fitzsimons Ravenel Ii |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Samuel Fitzsimons Ravenel Ii address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 470 S Highway 29 Ste 2
Cantonment, FL, 32533-6314
United States |
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| Phone Number : | 850-780-0111 |
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| Fax Number : | 850-780-0642 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184679375 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 May, 2006 |
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| Last Updated On : | 24 Sep, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Fitzsimons Ravenel Ii are as mentioned. Primary taxonomy code for Samuel Fitzsimons Ravenel Ii, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME128058 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Samuel Fitzsimons Ravenel Ii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 017919600 | MEDICAID | FL | |
| KD915 | Other | FL | MCR FL |
| M8P04 | Other | FL | BCBS FL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2315 W Jackson St
Pensacola, FL, 32505-7552
United States |
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| Phone Number : | 850-436-4630 |
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| Fax Number : | 850-436-2095 |
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Business Location:
Patients can refer following map for directions to
Samuel Fitzsimons Ravenel Ii practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.