Healthcare Provider Details
I. General information
NPI: 1912225095
Provider Name (Legal Business Name): RFA PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2010
Last Update Date: 05/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
831 CORAL RIDGE DR
CORAL SPRINGS FL
33071-4180
US
IV. Provider business mailing address
831 CORAL RIDGE DR
CORAL SPRINGS FL
33071-4180
US
V. Phone/Fax
- Phone: 954-608-3737
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
VINCE
MONTELIONE
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 954-608-3737