Individual
RAFAEL PITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 N ROBERT AVE, ARCADIA, FL 34266-8712
(863) 494-3535
Mailing address
5512 SECLUDED OAKS WAY, SARASOTA, FL 34233-5086
(786) 879-2801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME127920
FL
207Q00000X
Family Medicine Physician
E8958
AR
207Q00000X
Family Medicine Physician
ME127920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS
FL
Enumeration date
03/28/2013
Last updated
10/27/2020
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