Provider Demographics
NPI:1669782934
Name:PIANA, RAPHAEL JOHN (DC, DIPL AC)
Entity type:Individual
Prefix:DR
First Name:RAPHAEL
Middle Name:JOHN
Last Name:PIANA
Suffix:
Gender:M
Credentials:DC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7131 CURTISS AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231
Mailing Address - Country:US
Mailing Address - Phone:941-554-4536
Mailing Address - Fax:941-554-4532
Practice Address - Street 1:7131 CURTISS AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231
Practice Address - Country:US
Practice Address - Phone:941-554-4536
Practice Address - Fax:941-554-4532
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor