Organization
J. RAPHA MEDICAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MEDINA MD (OWNER)
(407) 556-3999
Entity
Organization
Contact information
Practice address
618 13TH STREET, SAINT CLOUD, FL 34769
(407) 556-3999
(407) 556-3933
Mailing address
PO BOX 421203, KISSIMMEE, FL 34742-1203
(407) 556-3999
(407) 847-8380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME84474
FL
Other
Enumeration date
09/13/2007
Last updated
01/07/2010
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