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NPI Code Detail

MEDICARE: DR. TOM RIFAI MD

MEDICARE: DR. TOM RIFAI 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
1207R00000XInternal Medicine PhysicianME179444FL

General Provider Information

NPI Number : 1912958810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOM RIFAI MD
Provider Business Mailing Address
First Line : 2140 CENTERVILLE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4314
Country : US
Telephone Number : 850-383-3333
Fax Number :
Provider Business Practice Location Address
First Line : 1264 METROPOLITAN BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-2536
Country : US
Telephone Number : 850-383-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 03/05/2026

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