Healthcare Provider Details

I. General information

NPI: 1902877830
Provider Name (Legal Business Name): RAFAT S NASHED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 11/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 RIVERSIDE DR E STE 1500
BRADENTON FL
34208-1031
US

IV. Provider business mailing address

700 8TH AVE W STE 101
PALMETTO FL
34221-4737
US

V. Phone/Fax

Practice location:
  • Phone: 941-741-3338
  • Fax: 941-714-7484
Mailing address:
  • Phone: 941-776-4000
  • Fax: 941-845-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME109000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: