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NPI Code Detail

MEDICARE: RACHEL A MITNICK

MEDICARE: RACHEL A MITNICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11007735FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326664319
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL A MITNICK
Provider Business Mailing Address
First Line : 2175 MAIN ST
Second Line :
City : DUNEDIN
State : FL
Zip : 34698-5606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7550 43RD ST N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3601
Country : US
Telephone Number : 727-824-8181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2020
Last Update Date : 02/12/2026

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Directions to “ RACHEL A MITNICK ” Practice Location

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