Individual
DR. JOHN W. RAFALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D., PA-C
Contact information
Practice address
DR. JOHN W. RAFALKO, 3200 SOUTH UNIVERSITY DR., NSU, HPD, CHCS, PA DEPARTMENT, ROOM 1287, FORT LAUDERDALE, FL 33328-2018
(954) 262-1287
(954) 262-2285
Mailing address
DR. JOHN W. RAFALKO, 3200 SOUTH UNIVERSITY DR., NSU, HPD, CHCS, PA DEPARTMENT, ROOM 1287, FORT LAUDERDALE, FL 33328-2018
(954) 262-1287
(954) 262-2285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1016380 PA-C NCCPA#
GA
363A00000X
Physician Assistant
7937253
NY
363A00000X
Physician Assistant
C0001101
MD
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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