| Organization Name: | RAFAEL HEALTH SERVICES INC |
| NPI Number: | 1922058692 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEX KROYTOR (VICE PRESIDENT) |
| Mailing Address: | 16378 Ne 26th Ave N Miami Beach |
| State: | FL US |
| Postal Code: | 331604004 |
| Phone Number: | 3059400040 |
| Fax Number: | 3059400094 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 09/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | HCC4291 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |