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NPI Code Detail

MEDICARE: DR. MARGUERITE RAFFIO POREDA MD

MEDICARE:  DR. MARGUERITE RAFFIO POREDA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084F0202XForensic Psychiatry PhysicianME84634FL
22084F0202XForensic Psychiatry Physician015074LA
32084F0202XForensic Psychiatry Physician46680MA
42084H0002XHospice and Palliative Medicine (Psychiatry & Neurology) PhysicianME84634FL
52084H0002XHospice and Palliative Medicine (Psychiatry & Neurology) Physician46680MA
62084H0002XHospice and Palliative Medicine (Psychiatry & Neurology) Physician015074LA
72084P0800XPsychiatry Physician46680MA
82084P0800XPsychiatry Physician015074LA
92084P0805XGeriatric Psychiatry Physician015074LA
102084P0805XGeriatric Psychiatry PhysicianME84634FL
112084P0805XGeriatric Psychiatry Physician46680MA
122084P0800XPsychiatry PhysicianME84634FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151532OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053305193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGUERITE RAFFIO POREDA MD
Provider Business Mailing Address
First Line : 7703 CLASSICS DRIVE
Second Line :
City : NAPLES
State : FL
Zip : 34113-3345
Country : US
Telephone Number : 239-234-5978
Fax Number : 781-459-8187
Provider Business Practice Location Address
First Line : 7703 CLASSICS DRIVE
Second Line :
City : NAPLES
State : FL
Zip : 34113-3345
Country : US
Telephone Number : 239-234-5978
Fax Number : 781-459-8187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2005
Last Update Date : 11/04/2021

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Directions to “ DR. MARGUERITE RAFFIO POREDA MD” Practice Location

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