Provider Demographics
NPI:1013929603
Name:HAMZEH, RAAFAT ISMAIL (MD)
Entity type:Individual
Prefix:DR
First Name:RAAFAT
Middle Name:ISMAIL
Last Name:HAMZEH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8907 REGENTS PARK DR
Mailing Address - Street 2:SUITE 330
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3401
Mailing Address - Country:US
Mailing Address - Phone:813-907-0233
Mailing Address - Fax:813-907-0064
Practice Address - Street 1:8907 REGENTS PARK DR
Practice Address - Street 2:SUITE 330
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3401
Practice Address - Country:US
Practice Address - Phone:813-907-0233
Practice Address - Fax:813-907-0064
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME063717208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG42961Medicare UPIN