Provider Demographics
NPI:1295710762
Name:TOROYAN, RAFFI (DO)
Entity type:Individual
Prefix:
First Name:RAFFI
Middle Name:
Last Name:TOROYAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E HILLSBORO BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3628
Mailing Address - Country:US
Mailing Address - Phone:954-363-7494
Mailing Address - Fax:954-363-7497
Practice Address - Street 1:1000 E HILLSBORO BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-3628
Practice Address - Country:US
Practice Address - Phone:954-363-7494
Practice Address - Fax:954-363-7497
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6072204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBR885AMedicare PIN
FLE26694Medicare UPIN
FLBR885CMedicare PIN
FLCM818YMedicare UPIN
FLBR885BMedicare PIN
FLCM818XMedicare UPIN
FLCM818ZMedicare UPIN