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Individual

RAFAEL PARLADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
1340 RIDGEWOOD AVE, HOLLY HILL, FL 32117
(386) 676-7175
(386) 676-7134
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120
(386) 676-7130
(386) 676-7125

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3362
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY0003362
VHN
FL
Enumeration date
03/23/2006
Last updated
07/12/2013
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