Provider Demographics
NPI:1689758880
Name:CARON, RAYMOND FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:FRANCIS
Last Name:CARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 S KIRKMAN RD STE E
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-1472
Mailing Address - Country:US
Mailing Address - Phone:407-292-4453
Mailing Address - Fax:407-294-7337
Practice Address - Street 1:54 S KIRKMAN RD STE E
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-1472
Practice Address - Country:US
Practice Address - Phone:407-292-4453
Practice Address - Fax:407-294-7337
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL51784208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063921400Medicaid
FL063921401Medicaid