1. Home
  2. Directory
  3. Florida
  4. Lake City
  5. Family Medicine
  6. NPI Profile

RAIMAH PRIMARY CARE CENTER PA
NPI 1174719629
Family Medicine - Adult Medicine in Lake City, FL

Active since September 19, 2007
1283 SW STATE ROAD 47, 103, LAKE CITY, FL 32025(386) 754-0339(386) 754-0393 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raimah Primary Care Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAIMAH PRIMARY CARE CENTER PA (NPI 1174719629) is a healthcare organization registered as an adult medicine in Lake City, Florida and active in the NPI registry since September 2007. The organization lists Marie Raime, Doctor, as its authorized official.

NPPES Registry Identity

NPI1174719629
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameRAIMAH PRIMARY CARE CENTER PA
Location Address1283 SW STATE ROAD 47, 103Lake City, FL 32025-0489
Mailing Address1283 Sw State Road 47, Suite103Lake City, FL 32025-0489 · (386) 754-0339 · Fax (386) 754-0393
Phone(386) 754-0339
Fax(386) 754-0393
Organization SubpartNo
Authorized OfficialMarie RaimeDoctor · (386) 754-0339
Enumeration DateSeptember 19, 2007
Last NPPES UpdateDecember 11, 2012
✔ NPI 1174719629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · ME85010
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1283 SW STATE ROAD 47, Lake City, FL 32025
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH04412FL
Medicaid264300600FL
Medicare PINK9055FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEGUM INTERNAL MEDICINE LLC
Legal Medicine
1283 SW STATE ROAD 47, SUITE 101
LAKE CITY, FL 32025
Columbia County (386) 438-5255
MARIE RAIME M.D
Family Medicine
1283 SW STATE ROAD 47, SUITE 103
LAKE CITY, FL 32025
Columbia County (386) 754-0339
DR. RICARDO J ROSADO M.D.
Internal Medicine (Gastroenterology)
1283 SW STATE ROAD 47, SUITE 104
LAKE CITY, FL 32025
Columbia County (386) 758-5985
MOHAMMAD ALI FAISAL, M.D., P.A.
Specialist
1283 SW STATE ROAD 47, SUITE 104
LAKE CITY, FL 32025
Columbia County (386) 758-5985
DR. MOHAMMAD A FAISAL M.D.
Internal Medicine (Gastroenterology)
1283 SW STATE ROAD 47, SUITE 104
LAKE CITY, FL 32025
Columbia County (386) 758-5985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raimah Primary Care Center PA's NPI number?

The NPI number for Raimah Primary Care Center PA is 1174719629. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Raimah Primary Care Center PA located?

Raimah Primary Care Center PA is located at 1283 SW State Road 47 103, Lake City, FL 32025. The listed phone number is (386) 754-0339.

What is Raimah Primary Care Center PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

What insurance does Raimah Primary Care Center PA accept?

Health plans from AvMed list Raimah Primary Care Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raimah Primary Care Center PA was last updated on December 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.