Individual
DR. KAREN M RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1255 37TH ST, SUITE E, VERO BEACH, FL 32960-6550
(772) 299-0033
Mailing address
7955 SPYGLASS HILL RD, STE A, MELBOURNE, FL 32940-8249
(207) 214-5698
(321) 775-1364
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
08622
RI
207L00000X
Anesthesiology Physician
Primary
ME 109681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005922000
—
FL
01
—
14K3X
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/20/2007
Last updated
02/15/2021
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