Provider Demographics
NPI:1699784330
Name:SHNAYDER, RAFAIL SIMON (DO)
Entity type:Individual
Prefix:
First Name:RAFAIL
Middle Name:SIMON
Last Name:SHNAYDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15805 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5378
Mailing Address - Country:US
Mailing Address - Phone:305-948-3985
Mailing Address - Fax:305-948-8248
Practice Address - Street 1:15805 BISCAYNE BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-5378
Practice Address - Country:US
Practice Address - Phone:305-948-3985
Practice Address - Fax:305-948-8248
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY222133207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine