Organization
RADIOLOGY IMAGING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH JOSEPH RAFFA MD (PRESIDENT)
(772) 398-2233
Entity
Organization
Contact information
Practice address
1825 SE TIFFANY AVE, SUITE 104, PORT ST LUCIE, FL 34952-7554
(772) 398-2233
(772) 380-0020
Mailing address
27034 NETWORK PL, CHICAGO, IL 60673-1270
(585) 241-6851
(585) 387-9193
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039279100
—
FL
05
—
051223100
—
FL
05
—
060602200
—
FL
05
—
069259000
—
FL
05
—
069271900
—
FL
05
—
069326000
—
FL
Enumeration date
05/09/2006
Last updated
04/25/2014
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