Individual
DR. JORGE RAFAEL RABAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 SW 72ND ST STE 502, SOUTH MIAMI, FL 33143-4830
(305) 271-9777
(305) 533-9450
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(305) 271-9777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0057346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064757801
—
FL
Enumeration date
02/21/2006
Last updated
07/11/2022
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