Antun, Rafael A

Antun, Rafael A is an sole proprietor health care provider with primary practice located at 7600 Sw 57 Ave Ste 213, South Miami FL 33143-5408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Antun, Rafael A can be contacted via phone (305) 548-4005.

Contact Information

Primary practice address
7600 Sw 57 Ave Ste 213 South Miami FL 33143-5408
Phone: (305) 548-4005
Fax: (305) 548-4055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0059386 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X ME59386 Florida
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME59386 Florida

Profile Details

NPI number 1457309288
LBN Legal business name Antun, Rafael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Jun 10th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457309288 NPPES
Florida MEDICAID 111349100
Florida MEDICAID 052240600

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