Provider Demographics
NPI:1497873228
Name:KAREN RABEN MD PA
Entity Type:Organization
Organization Name:KAREN RABEN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-665-0585
Mailing Address - Street 1:7000 SW 62ND AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4716
Mailing Address - Country:US
Mailing Address - Phone:305-665-0585
Mailing Address - Fax:305-662-1359
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-665-0585
Practice Address - Fax:305-662-1359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208D00000X208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274519400Medicaid
FL96788OtherKAREN RABEN,MD
FL53432ZMedicare ID - Type UnspecifiedLUIS SAENZ,DO
FL1649352816Medicare PIN
FL274519400Medicaid
D21055Medicare UPIN
FLD63992Medicare UPIN
FL96788OtherKAREN RABEN,MD