Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | OS6072 | FL |
NPI | 1295710762 |
---|---|
Provider Name | Raffi Toroyan |
First Address | Deerfield Beach, FL 33441-3628 |
Second Address | Deerfield Beach, FL 33441-3628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 22/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CM818X | (02) | FL |
CM818Y | (02) | FL |
CM818Z | (02) | FL |
E26694 | (02) | FL |