Provider Demographics
NPI:1760471676
Name:RAAB, MICHAEL FRANZ (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:FRANZ
Last Name:RAAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 HIDEAWAY CT
Mailing Address - Street 2:
Mailing Address - City:SANIBEL
Mailing Address - State:FL
Mailing Address - Zip Code:33957-5404
Mailing Address - Country:US
Mailing Address - Phone:239-898-8900
Mailing Address - Fax:239-395-0752
Practice Address - Street 1:551 HIDEAWAY CT
Practice Address - Street 2:
Practice Address - City:SANIBEL
Practice Address - State:FL
Practice Address - Zip Code:33957-5404
Practice Address - Country:US
Practice Address - Phone:239-898-8900
Practice Address - Fax:239-395-0752
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86806207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269685100Medicaid
FL269685100Medicaid
FLHQ813AMedicare PIN
FL46009YMedicare PIN