Individual
DR. MITCHELL K RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 GLADES ROAD, SUITE 200, BOCA RATON, FL 33431
(561) 391-6470
(561) 394-2306
Mailing address
150 CLINIC AVE, STE 202, CARROLLTON, GA 30117-4402
(678) 390-7164
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0068700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E640
WELLCARE
FL
01
—
1453279
CIGNA
FL
05
—
253485100
—
FL
01
—
259384
AVMED
FL
01
—
42722
BCBS
FL
01
—
4386
DIMENSION HEALTH
FL
01
—
5682670
AETNA
FL
01
—
P01606320
RR MEDICARE
FL
01
—
P1035782
FREEDOM
FL
01
—
P971547
OPTIMUM
FL
Enumeration date
07/24/2006
Last updated
05/07/2018
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