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NPI Code Detail

MEDICARE: RAFAH AFLAK M.D.

MEDICARE: RAFAH AFLAK M.D.
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
12080A0000XPediatric Adolescent Medicine PhysicianME76826FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
244946OTHERFLBLUE CROSS BLUE SHIELD
359147365OTHERALBLUE CROSS BLUE SHIELD
4A853OTHERFLHEALTH FIRST NETWORK
5ME76826OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1952372609
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAH AFLAK M.D.
Provider Business Mailing Address
First Line : 185 CROSSVILLE ST
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6586
Country : US
Telephone Number : 850-478-5440
Fax Number : 850-478-5447
Provider Business Practice Location Address
First Line : 185 CROSSVILLE ST
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6586
Country : US
Telephone Number : 850-478-5440
Fax Number : 850-478-5447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 05/13/2008

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