Rafey, Larry Dean

Rafey, Larry Dean is an individual health care provider with primary practice located at 4415 Us Highway 331 S , Defuniak Springs FL 32435-6307. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rafey, Larry Dean can be contacted via phone (850) 951-4556.

Contact Information

Primary practice address
4415 Us Highway 331 S Defuniak Springs FL 32435-6307
Phone: (850) 951-4556
Fax: (850) 951-4527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3233 Florida

Profile Details

NPI number 1437195955
LBN Legal business name Rafey, Larry Dean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jun 23rd, 2010 - about 15 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 1437195955 NPPES
Florida MEDICAID 290274500

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