Iskander, Rafat Shafik
Iskander, Rafat Shafik is an sole proprietor health care provider with primary practice located at 400 Clyde Morris Blvd Ste A, Ormond Beach FL 32174-8171. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Iskander, Rafat Shafik can be contacted via phone (386) 677-0987.Contact Information
Primary practice address
400 Clyde Morris Blvd Ste A
Ormond Beach FL 32174-8171
Phone: (386) 677-0987
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9100077 | Florida |
Profile Details
NPI number | 1053332122 |
---|---|
LBN Legal business name | Iskander, Rafat Shafik |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 22nd, 2006 |
Last updated | May 24th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053332122 | NPPES |
Florida | MEDICAID | 292572900 |
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