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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457309288 | NPPES |
| Florida | MEDICAID | 111349100 | |
| Florida | MEDICAID | 052240600 |
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