Provider Demographics
NPI:1508747957
Name:RAKI MARINA 1
Entity type:Organization
Organization Name:RAKI MARINA 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKYOL
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:781-535-4386
Mailing Address - Street 1:10526 MARINA WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-5713
Mailing Address - Country:US
Mailing Address - Phone:617-340-8693
Mailing Address - Fax:781-658-2096
Practice Address - Street 1:10526 MARINA WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5713
Practice Address - Country:US
Practice Address - Phone:617-340-8693
Practice Address - Fax:781-658-2096
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLAMED CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care