Provider Demographics
NPI:1942210984
Name:RAPTOULIS, ARTHUR S (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:S
Last Name:RAPTOULIS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1300 SAWGRASS CORPORATE PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2823
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:954-858-0404
Practice Address - Street 1:557 N WYMORE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4200
Practice Address - Country:US
Practice Address - Phone:407-647-4890
Practice Address - Fax:407-647-8620
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2011-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME00254552080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL056382000Medicaid
FLD55478Medicare UPIN
FL48850ZMedicare ID - Type Unspecified