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NPI Code Detail

MEDICARE: DR. BARBARA RAPHAEL MD

MEDICARE: DR. BARBARA RAPHAEL 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
1207UN0902XNuclear Imaging & Therapy PhysicianME115220FL
22085R0202XDiagnostic Radiology PhysicianME115220FL
32085R0202XDiagnostic Radiology Physician240829NY
4207UN0902XNuclear Imaging & Therapy Physician240829NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11871801126OTHERNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871801126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA RAPHAEL MD
Provider Business Mailing Address
First Line : 500 N HIATUS RD STE 200
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33026-5213
Country : US
Telephone Number : 954-437-4800
Fax Number : 954-437-6628
Provider Business Practice Location Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-437-4800
Fax Number : 954-437-6628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2010
Last Update Date : 01/20/2026

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Directions to “ DR. BARBARA RAPHAEL MD” Practice Location

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