Female

Dr. Kathia Raphael MD

Family Medicine Physician in Fort Myers, FL(View on Map)

Full Name

Dr. Kathia Raphael MD

NPI Number

1982197893

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/14/2018

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Illinois

License Number

ME151022
125.072895

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2147
16271 BASS RD

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33902-2147
33908-3616

Country

US
US

Telephone Number

(239) 343-7100
(239) 343-7100

Identifiers

Identifier

110627300

Identifier State

FL

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

kraphael269386@Direct.leememorial.org

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

Y

Endpoint Location

Lee Memorial Health System2776 Cleveland AveFort Myers, FL339015864US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/17/2022

Provider Address

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