Provider Demographics
NPI:1649253147
Name:ABADIER, RAFIK (MD)
Entity type:Individual
Prefix:
First Name:RAFIK
Middle Name:
Last Name:ABADIER
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 1:212 S PINE AVE
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4831
Mailing Address - Country:US
Mailing Address - Phone:352-419-6537
Mailing Address - Fax:352-419-6541
Practice Address - Street 1:212 S PINE AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4831
Practice Address - Country:US
Practice Address - Phone:352-419-6537
Practice Address - Fax:352-419-6541
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME59443207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL055078700Medicaid
FL4535194OtherCIGNA
FL11319380OtherCAQH
FLME059443OtherSTATE LICENSE NUMBER
FL11974OtherBCBS OF FL
FL060041431OtherMEDICARE RR
E82559Medicare UPIN
FL11974OtherBCBS OF FL
FLME059443OtherSTATE LICENSE NUMBER
FL4535194OtherCIGNA