Rafacz, Jean A

Rafacz, Jean A is an sole proprietor health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rafacz, Jean A can be contacted via phone (239) 343-2606.

Contact Information

Primary practice address
9981 S Healthpark Dr Fort Myers FL 33908
Phone: (239) 343-2606
Fax: (239) 343-3695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X APRN9260272 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9260272 Florida

Profile Details

NPI number 1821283920
LBN Legal business name Rafacz, Jean A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2007
Last updated Mar 31st, 2021 - about 4 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 1821283920 NPPES
Florida MEDICAID 015028600

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