Organization Active NPI

Rapha Vascular Specialists Inc.

  • Vascular Surgery Physician
  • Lakeland, FL
National Provider Identifier
1528363041
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME 106633 Issued in FL
Legal business name
RAPHA VASCULAR SPECIALISTS INC.
Practice address
1619 Harden Blvd
Lakeland, FL 33803-1826
Phone
(863) 577-8346
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Obinna Uchenna Nwobi, M.D.
Title
President
Phone
(407) 689-8793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X ME 106633 FL Primary

Addresses

Primary practice location

1619 Harden Blvd
Lakeland, FL 33803-1826

Mailing address

1619 Harden Blvd
Lakeland, FL 33803-1826
Phone (863) 577-8346

Other identifiers 1

IdentifierTypeStateIssuer
1912028853OtherFLNPI

Other names 1

  • Central Florida Vein Institute Other name

National Provider Directory

National Provider Directory

Locations

1619 Harden Blvd
Lakeland, FL 33803
Phone (727) 527-5100

1881 W Kennedy Blvd
Ste Ab
Tampa, FL 33606
Phone (813) 513-3030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1528363041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031826",
            "telephone_number": "863-577-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031826",
            "telephone_number": "863-577-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA VASCULAR SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "NWOBI",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "UCHENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-689-8793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME 106633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912028853",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Vein Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.