MEDICARE: RFA PARTNERS, LLC

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	213ES0131X	Foot Surgery Podiatrist

General Provider Information

NPI Number	:	1912225095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RFA PARTNERS, LLC

Provider Business Mailing Address
First Line	:	831 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4180
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	831 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4180
Country	:	US
Telephone Number	:	954-608-3737
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MR. VINCE MONTELIONE
Credential	:
Telephone Number	:	954-608-3737

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	05/13/2010

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