Individual
DR. RAFIK DIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, PHARMD.
Contact information
Practice address
2600 JACKS RD, DAVENPORT, FL 33897-8007
(863) 888-3374
Mailing address
2600 JACKS RD, DAVENPORT, FL 33897-8007
(863) 888-3374
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
6475
LA
1223P0300X
Periodontics
Primary
DN22644
FL
183500000X
Pharmacist
19121
LA
Other
Enumeration date
12/26/2012
Last updated
12/11/2025
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