E. CRAIG RABY MD PA
Osteopathic Medicine at Palm Ave, Palatka, FL

License number
Florida ME 18390
Category
Osteopathic Medicine
Type
Procedural Dermatology
Owner
Name: DR. ELLIOTT CRAIG RABY MD
Title: PRESIDENT
Phone: (386) 328-5746
Address
Address
310 S Palm Ave SUITE 10, Palatka, FL 32177
National Provider ID: 1508951658
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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E. CRAIG RABY, M.D., PA

310 S Palm Ave STE 10, Palatka, FL 32177

Status:
Inactive
Inactive reason:
Name Change Amendment
Registration:
May 8, 1978
Inactive since:
May 31, 1978
State ID:
571211
Business type:
Florida Profit Corporation
Presidents:
E. Craig Raby, 310 S Palm Ave #10, Palatka, FL (Physical),Nancy M. Raby (Treasurer, Secretary), 310 S Palm Ave #10, Palatka, FL (Physical),Raby E. Craig (President)
Agent:
Nancy Raby,310 S Palm Ave, Palatka, FL 32177 (Physical)
EIN:
59-1833560

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