RAIMAH PRIMARY CARE CENTER PA – Adult Medicine Physician, NPI 1174719629

RAIMAH PRIMARY CARE CENTER PA is a healthcare provider. based in Lake city, Florida. specializing in Adult Medicine Physician. The organization holds a License No. ME85010 (FL). The NPI Number for RAIMAH PRIMARY CARE CENTER PA is 1174719629

Main info

Organization
Name
RAIMAH PRIMARY CARE CENTER PA
NPI
1174719629
Phone
(386) 754-0339
Address
1283 SW STATE ROAD 47
Authorized Official
DR. MARIE RAIME DOCTOR MD
Enumeration Date
19 September 2007
Last Update Date
11 December 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for RAIMAH PRIMARY CARE CENTER PA

  • 1283, Southwest State Road 47, Columbia County, Florida, 32025, United States

    SUITE103

    LAKE CITY, FL 320250489

    Phone: (386) 754-0339

    Fax: (386) 754-0393

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32025)

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Reviews

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Frequently asked questions

Can I verify RAIMAH PRIMARY CARE CENTER PA with an NPI only?
You can start verification with NPI 1174719629 for RAIMAH PRIMARY CARE CENTER PA, then check state licensing separately.
Does the file indicate RAIMAH PRIMARY CARE CENTER PA is practicing under active NPI?
Directory data currently reports RAIMAH PRIMARY CARE CENTER PA as active.
What taxonomy line describes RAIMAH PRIMARY CARE CENTER PA?
For research purposes, treat RAIMAH PRIMARY CARE CENTER PA as Adult Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is RAIMAH PRIMARY CARE CENTER PA based?
RAIMAH PRIMARY CARE CENTER PA is tied to Lake City, Florida in the data we show; additional addresses may exist on the full record.
Is the information about RAIMAH PRIMARY CARE CENTER PA up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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