Provider Demographics
NPI:1013212604
Name:RAHE, ROBERT A (PA-C)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:RAHE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:755 STIRLING CENTER PL
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5714
Mailing Address - Country:US
Mailing Address - Phone:407-333-1718
Mailing Address - Fax:407-333-1633
Practice Address - Street 1:755 STIRLING CENTER PL
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5714
Practice Address - Country:US
Practice Address - Phone:407-333-1718
Practice Address - Fax:407-333-1633
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9105814363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical