Provider Demographics
NPI:1922058692
Name:RAFAEL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:RAFAEL HEALTH SERVICES INC
Other - Org Name:NATIONAL BALANCE IMPROVEMENT CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:KROYTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-940-0040
Mailing Address - Street 1:16378 NE 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4004
Mailing Address - Country:US
Mailing Address - Phone:305-940-0040
Mailing Address - Fax:305-940-0094
Practice Address - Street 1:16378 NE 26TH AVE
Practice Address - Street 2:
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4004
Practice Address - Country:US
Practice Address - Phone:305-940-0040
Practice Address - Fax:305-940-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4291261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4681Medicare PIN