Individual
RAFIK BEN ABDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2955 BROWNWOOD BLVD STE 112, THE VILLAGES, FL 32163-2040
(352) 787-5858
Mailing address
734 N 3RD ST STE 115, LEESBURG, FL 34748-5287
(352) 365-2583
(352) 728-6744
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
OS18277
FL
2085R0202X
Diagnostic Radiology Physician
079189
GA
2085R0202X
Diagnostic Radiology Physician
Primary
OS18277
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114126700
—
FL
Enumeration date
05/13/2012
Last updated
07/08/2022
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