Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Raphael G Banoub, MD

Individual provider Ophthalmology Physician · NPI 1821663782

Dr. Raphael G Banoub, MD is an Ophthalmology in Jacksonville, Florida. Graduated from Wayne State University School of Medicine in 2020, 6 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Trained at
Wayne State University School of Medicine
Licensed in
FL
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 201 E Sample Rd, Deerfield Beach, FL 33064-3502 — (954) 941-8300
  • 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 — (954) 355-4400
  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (718) 470-4475

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence ME175224 (FL)

Record details

NPI number1821663782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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