Individual
RAFAEL REGUEIFEROS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10743 NARCOOSSEE RD, SUITE A-18, ORLANDO, FL 32832-5781
(407) 277-1900
(407) 277-1888
Mailing address
10743 NARCOOSSEE RD, SUITE A-18, ORLANDO, FL 32832
(407) 427-7190
(407) 277-1888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9106410
FLORIDA LICENSE
FL
Enumeration date
02/13/2012
Last updated
03/17/2016
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