Individual
PAUL M ROUGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
661 GOODLETTE RD N, SUITE 105, NAPLES, FL 34102-5609
(239) 262-6288
(239) 262-5434
Mailing address
661 GOODLETTE RD N, SUITE 105, NAPLES, FL 34102-5609
(239) 262-6288
(239) 262-5434
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01041604A
IN
207W00000X
Ophthalmology Physician
Primary
ME63864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27485
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/28/2005
Last updated
05/27/2009
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