Provider Demographics
NPI:1538661897
Name:RAFAIL SHNAYDER DO. PA.
Entity Type:Organization
Organization Name:RAFAIL SHNAYDER DO. PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.O.
Authorized Official - Prefix:
Authorized Official - First Name:RAFAIL
Authorized Official - Middle Name:SIMON
Authorized Official - Last Name:SHNAYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-948-3985
Mailing Address - Street 1:15805 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5378
Mailing Address - Country:US
Mailing Address - Phone:305-948-3985
Mailing Address - Fax:305-948-8248
Practice Address - Street 1:15805 BISCAYNE BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-5378
Practice Address - Country:US
Practice Address - Phone:305-948-3985
Practice Address - Fax:305-948-8248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-02
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty