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Organization
RAPHA KIDNEY CENTER PLLC
Active
Organization
RAPHA KIDNEY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUTAYO OLABIGE MD (OWNER)
(352) 346-3127
Entity
Organization
Contact information
Practice address
1548B S WATER ST, STARKE, FL 32091-4511
(352) 346-3127
(352) 581-6226
Mailing address
PO BOX 141032, GAINESVILLE, FL 32614-1032
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
08/31/2020
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