| Rapha Family Centre Llc | |
|
2008 N Goldenrod Rd Bldg 300 Orlando FL 32807-8544 | |
| (321) 440-7193 | |
| Not Available |
| Full Name | Rapha Family Centre Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2008 N Goldenrod Rd Bldg 300, Orlando, Florida |
| Authorized Official Name and Position | Luis W Lopez (OWNER) |
| Authorized Official Contact | 7876731486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapha Family Centre Llc 2008 N Goldenrod Rd Bldg 300 Orlando FL 32807-8544 Ph: (321) 440-7193 | Rapha Family Centre Llc 2008 N Goldenrod Rd Bldg 300 Orlando FL 32807-8544 Ph: (321) 440-7193 |
| NPI Number | 1801516448 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 2264805993 |
|---|---|
| Medicare Enrollment ID | O20230228002899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801516448 | NPI | - | NPPES |
| Provider Name | Luis Wilfredo Lopez-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619502846 PECOS PAC ID: 9830565068 Enrollment ID: I20221013000609 |
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