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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053332122 NPPES
Florida MEDICAID 292572900

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