Organization
RAFAEL ANTUN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL A ANTUN M.D. (PRESIDENT)
(305) 548-4005
Entity
Organization
Contact information
Practice address
1321 NW 14TH ST, STE 303, MIAMI, FL 33125-1673
(305) 548-4005
(305) 548-4055
Mailing address
1321 NW 14TH ST, STE 303, MIAMI, FL 33125-1673
(305) 548-4005
(305) 548-4055
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME59386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052240600
—
FL
Enumeration date
10/26/2010
Last updated
10/26/2010
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