Espejo, Rafael Antonio

Espejo, Rafael Antonio is an individual health care provider with primary practice located at 1500 Sw 1St Ave , Ocala FL 34471-6504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Espejo, Rafael Antonio can be contacted via phone (352) 867-8311.

Contact Information

Primary practice address
1500 Sw 1St Ave Ocala FL 34471-6504
Phone: (352) 867-8311
Fax: (352) 867-1053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 225090-1 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35082283 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD420149 Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME119317 Florida

Profile Details

NPI number 1588651525
LBN Legal business name Espejo, Rafael Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588651525 NPPES
Florida Other ME119317 MEDICAL LICENSE
Florida MEDICAID 2360690 MEDICAL LICENSE
Florida Other 1438749 MEDICAL LICENSE

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