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Individual

RICHARD RAFFAELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
(305) 662-8291
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
(305) 662-8291

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME44947
FL
208D00000X
General Practice Physician
0044947
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062762300
FL
Enumeration date
08/19/2006
Last updated
08/23/2017
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