Provider Demographics
NPI:1356333603
Name:RASPA, ROBERT FRANKLIN (MD)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRANKLIN
Last Name:RASPA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 746638
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6638
Mailing Address - Country:US
Mailing Address - Phone:904-202-1032
Mailing Address - Fax:904-376-4107
Practice Address - Street 1:1731 WELLS RD STE 120
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-2322
Practice Address - Country:US
Practice Address - Phone:904-376-4910
Practice Address - Fax:904-390-7457
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2023-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0067446207Q00000X
FLME86570207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266770300Medicaid
FL8564991-001OtherCIGNA
FLP00071895OtherMEDICARE RAILROAD
FL266770300Medicaid
FL7521600OtherAETNA
FL230799OtherHEALTHEASE
FL7521600OtherAETNA
FL8564991-001OtherCIGNA