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Individual

IRA L RAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5258 LINTON BLVD, SUITE 203, DELRAY BEACH, FL 33484-6540
(561) 495-7570
(561) 496-7074
Mailing address
5258 LINTON BLVD, SUITE 203, DELRAY BEACH, FL 33484-6540
(561) 495-7570
(561) 496-7074

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18707
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27973
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/06/2006
Last updated
08/18/2011
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