Individual
DR. RAFAEL A ANTUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 SW 57 AVE, STE 213, SOUTH MIAMI, FL 33143-5408
(305) 548-4005
(305) 548-4055
Mailing address
7600 SW 57 AVE, STE 213, SOUTH MIAMI, FL 33143-5408
(305) 548-4005
(305) 548-4055
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME59386
FL
208800000X
Urology Physician
ME0059386
FL
208800000X
Urology Physician
Primary
ME59386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052240600
—
FL
05
—
111349100
—
FL
Enumeration date
05/04/2006
Last updated
06/10/2024
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