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Individual

DR. RAFAEL OLIVER-VIDAUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1445 NW BOCA RATON BLVD, AKER KASTEN CATARACT & LASER INSTITUTE, BOCA RATON, FL 33432-1610
(561) 338-7722
(561) 338-7785
Mailing address
3070 SW 121ST AVE, DAVIE, FL 33330-1318
(954) 382-1782
(954) 382-1989

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
159571 1
NY
207L00000X
Anesthesiology Physician
25MA04181000
NJ
207L00000X
Anesthesiology Physician
Primary
ME54983
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042127800
FL
Enumeration date
04/12/2006
Last updated
11/20/2015
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