DR. RAUL L ZIMMERMAN (NPI# 1154409431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154409431 |
| Entity Type | Individual |
| Full Name | DR. RAUL L ZIMMERMAN |
| Credential | MD |
| Practice Address |
3800 Woodbriar Trl Port Orange FL 32129-9626 |
| Practice Telephone | 3864258720 |
| Practice Fax Number | 3863224720 |
| Mailing Telephone | 3864258720 |
| Mailing Fax Number | 3863224720 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME64669 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
ME64669 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374118400 | 05 |
| Street Address |
3800 WOODBRIAR TRL |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083055016 | Kelly S Kiah | Nurse Practitioner | 3800 Woodbriar Trl, Port Orange, FL 32129-9626 | 2013-07-06 |
| 1982812905 | John Bunnell | Family Medicine | 3800 Woodbriar Trl, Port Orange, FL 32129-9626 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908701 | Heidi Ramazanzadeh Azari | Family Medicine | 555 John Anderson Dr, Ormond Beach, FL 32176-5480 | 2020-09-24 |
| 1902363443 | Alegis Care of Florida Pa | Family Medicine | 255 Primera Blvd Ste 264, Lake Mary, FL 32746-2148 | 2019-02-20 |
| 1710404363 | Center for Health and Wellness | Family Medicine | 3117 Spring Glen Rd Ste 407, Jacksonville, FL 32207-5906 | 2017-08-24 |
| 1891233219 | Suz M.d. LLC | Family Medicine | 11946 Skylake Pl, Unit D, Temple Terrace, FL 33617-1623 | 2017-02-06 |
| 1992116537 | Horizon Palliative Care Partners LLC | Family Medicine | 901 34th Ave N, Ste 7597, St Petersburg, FL 33734-8064 | 2014-05-16 |
| 1427341296 | Mariana Khawand-azoulai | Family Medicine | 1400 Nw 12th Ave Fl 11, Miami, FL 33136-1003 | 2011-05-26 |
| 1679889968 | Premier Family and Palliative Medical Center Inc | Family Medicine | 1 W Sample Rd # 3104, Pompano Beach, FL 33064-3547 | 2010-08-24 |
| 1568782464 | University Primary Care LLC | Family Medicine | 7495 North University Dr, Tamarac, FL 33321 | 2010-06-03 |
| 1114164282 | North Broward Hospital District | Family Medicine | 1625 Se 3rd Ave Ste 610, Fort Lauderdale, FL 33316-2521 | 2009-01-12 |
| 1932317294 | Lawrence E Bennett | Family Medicine | 8886 Windtree St, Boca Raton, FL 33496-5090 | 2007-05-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.