Provider Demographics
NPI:1447277173
Name:RATTES, MAX F (MD)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:F
Last Name:RATTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-7159
Mailing Address - Country:US
Mailing Address - Phone:813-719-1323
Mailing Address - Fax:813-719-3560
Practice Address - Street 1:310 W ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-7159
Practice Address - Country:US
Practice Address - Phone:813-719-1323
Practice Address - Fax:813-719-3560
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062981207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F49789Medicare UPIN