Individual
RAISA I RAFALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4730 N HABANA AVE, 114, TAMPA, FL 33614-7163
(813) 872-4492
Mailing address
5501 W GRAY ST, TAMPA, FL 33609-1007
(813) 872-4492
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3354792
FL
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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