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Individual

JOHN RAGHEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 662-8386
(305) 663-8490
Mailing address
PO BOX 557367, MIAMI, FL 33255-7367
(786) 624-5845
(786) 624-2688

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME71423
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3798259-00
FL
Enumeration date
04/14/2006
Last updated
02/13/2012
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