Individual
RAFAT SHAFIK ISKANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 CLYDE MORRIS BLVD, STE A, ORMOND BEACH, FL 32174-8171
(386) 677-0987
Mailing address
400 CLYDE MORRIS BLVD, STE A, ORMOND BEACH, FL 32174-8171
(386) 677-0987
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292572900
—
FL
Enumeration date
07/22/2006
Last updated
05/24/2012
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