Individual
KIESHA MCCAUSLAND RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, ANESTHESIA OFFICE SECOND FLOOR, HOLLYWOOD, FL 33021-5421
(954) 265-3014
Mailing address
3501 JOHNSON ST, DEPT OF ANESTHESIOLOGY, HOLLYWOOD, FL 33021-5421
(354) 265-3014
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME115454
FL
207R00000X
Internal Medicine Physician
LL31955
SC
Other
Enumeration date
06/26/2009
Last updated
03/24/2021
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