Organization
WOLFSDORF RASZYNSKI & SUSSMANE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE RASZYNSKI MD (PRESIDENT)
(305) 662-2639
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 662-2639
(305) 663-0530
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 662-2639
(305) 663-0530
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77492
BCBS
FL
Enumeration date
11/16/2005
Last updated
08/22/2020
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