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Individual
KERRY VAUGHN RIFKIN
Active
Individual
KERRY VAUGHN RIFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
G4046
TX
2086S0129X
Vascular Surgery Physician
Primary
ME0041529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020016680
RAILROAD MEDICARE
FL
05
—
067441900
—
FL
01
—
15764
BCBS OF FLORIDA
FL
Enumeration date
05/23/2006
Last updated
03/04/2020
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