Dr. Kathia Raphael, MD
Family Medicine in Fort Myers, FL. Individual provider (NPI-1).
NPI number1982197893
StatusActive
Last updated in NPPESJan 17, 2022
Details
- NPI
- 1982197893
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathia Raphael
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2018
- Certification date
- Jan 17, 2022
- Last updated
- Jan 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME151022 | FL | Yes |
| 207Q00000X | Family Medicine | 125.072895 | IL |
Practice location
16271 Bass RdFort Myers, FL 33908-3616
Phone 239-343-7100 · Fax 239-343-7190
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-343-7100 · Fax 239-343-7190
Other practice locations
612 N 11th St
Quincy, IL 62301
Quincy, IL 62301
Phone 217-224-9484
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