MEDICARE: RAFFI TOROYAN D.O.

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
1	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	OS6072	FL

General Provider Information

NPI Number	:	1295710762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFFI TOROYAN D.O.

Provider Business Mailing Address
First Line	:	1000 E HILLSBORO BLVD
Second Line	:	SUITE 104
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3628
Country	:	US
Telephone Number	:	954-363-7494
Fax Number	:	954-363-7497

Provider Business Practice Location Address
First Line	:	1000 E HILLSBORO BLVD
Second Line	:	SUITE 104
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-3628
Country	:	US
Telephone Number	:	954-363-7494
Fax Number	:	954-363-7497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	05/22/2014

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