Provider Demographics
NPI:1265428270
Name:RIFAI, AREF (MD)
Entity type:Individual
Prefix:DR
First Name:AREF
Middle Name:
Last Name:RIFAI
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 1:1549 AIRPORT BLVD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8633
Mailing Address - Country:US
Mailing Address - Phone:850-607-6841
Mailing Address - Fax:850-637-1054
Practice Address - Street 1:1549 AIRPORT BLVD
Practice Address - Street 2:SUITE 410
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8633
Practice Address - Country:US
Practice Address - Phone:850-607-6841
Practice Address - Fax:850-637-1054
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL71132207W00000X
FLME71132207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250657200Medicaid
FL31419ZMedicare ID - Type Unspecified
FL250657200Medicaid