Provider Demographics
NPI:1043637143
Name:CHALFIN, RENATA (MD)
Entity Type:Individual
Prefix:DR
First Name:RENATA
Middle Name:
Last Name:CHALFIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RENATA
Other - Middle Name:
Other - Last Name:SHRAYBMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 880761
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33488-0761
Mailing Address - Country:US
Mailing Address - Phone:561-961-8575
Mailing Address - Fax:561-898-1710
Practice Address - Street 1:7000 W PALMETTO PARK RD STE 406
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3425
Practice Address - Country:US
Practice Address - Phone:561-961-8575
Practice Address - Fax:561-898-1710
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH209552084N0400X
WI721162084N0400X
PAMD4721132084N0400X
MTMED-PHYS-LIC-988742084N0400X
WAMD611127002084N0400X
FLME1355042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology