Exantus, Raiza

Exantus, Raiza is an individual health care provider with primary practice located at 1131 N 35Th Ave Fl 2 , Hollywood FL 33021-5403. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Exantus, Raiza can be contacted via phone (954) 265-6319.

Contact Information

Primary practice address
1131 N 35Th Ave Fl 2 Hollywood FL 33021-5403
Phone: (954) 265-6319
Fax: (954) 276-0166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X ME0150530 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0150530 Florida

Profile Details

NPI number 1013412097
LBN Legal business name Exantus, Raiza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2018
Last updated Feb 27th, 2024 - about 2 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 1013412097 NPPES
Florida MEDICAID 119692700

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