Provider Demographics
NPI:1558152264
Name:KAMT RAFFO, DENEB (AP)
Entity type:Individual
Prefix:
First Name:DENEB
Middle Name:
Last Name:KAMT RAFFO
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 MYRTLE OAK LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-1980
Mailing Address - Country:US
Mailing Address - Phone:321-831-5249
Mailing Address - Fax:
Practice Address - Street 1:7801 MYRTLE OAK LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-1980
Practice Address - Country:US
Practice Address - Phone:321-831-5249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL854174171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist