Gottenger, Rafael David

Gottenger, Rafael David is an individual health care provider with primary practice located at 7330 Sw 62Nd Pl Suite #205, South Miami FL 33143-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gottenger, Rafael David can be contacted via phone (305) 669-0900.

Contact Information

Primary practice address
7330 Sw 62Nd Pl Suite #205 South Miami FL 33143-4825
Phone: (305) 669-0900
Fax: (305) 669-0100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME91263 Florida

Profile Details

NPI number 1144215617
LBN Legal business name Gottenger, Rafael David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 22nd, 2017 - about 8 years 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 1144215617 NPPES
Florida MEDICAID 272290900

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