MEDICARE: RACHEL LUCENTE

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
1	363L00000X	Nurse Practitioner	309081	NY
2	363LP2300X	Primary Care Nurse Practitioner	11033994	FL
3	207QA0505X	Adult Medicine Physician	309081	NY
4	363LF0000X	Family Nurse Practitioner	309081	NY

General Provider Information

NPI Number	:	1346706801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LUCENTE

Provider Business Mailing Address
First Line	:	3800 CITIBANK CTR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-9559
Country	:	US
Telephone Number	:	813-604-4333
Fax Number	:	813-200-2860

Provider Business Practice Location Address
First Line	:	3800 CITIBANK CTR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-9559
Country	:	US
Telephone Number	:	813-604-4333
Fax Number	:	813-200-2860

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	03/03/2026

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Directions to “ RACHEL LUCENTE ” Practice Location

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