Provider Demographics
NPI:1518942457
Name:TOMEI, RAPHEAL CHRISTIAN (CRNA MSN)
Entity Type:Individual
Prefix:MR
First Name:RAPHEAL
Middle Name:CHRISTIAN
Last Name:TOMEI
Suffix:
Gender:M
Credentials:CRNA MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 KEY LARGO ST
Mailing Address - Street 2:JUPITER
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8279
Mailing Address - Country:US
Mailing Address - Phone:561-275-9039
Mailing Address - Fax:
Practice Address - Street 1:1175 KEY LARGO ST
Practice Address - Street 2:JUPITER
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8279
Practice Address - Country:US
Practice Address - Phone:561-275-9039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9198123367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL307220700Medicaid
FLG3840OtherBCBS OF FLORIDA
FL307220700Medicaid
FLG3840WMedicare PIN