Healthcare Provider Details

I. General information

NPI: 1720972243
Provider Name (Legal Business Name): RAQUEL DUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2025
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9980 CENTRAL PARK BLVD N STE 222
BOCA RATON FL
33428-1704
US

IV. Provider business mailing address

21134 SHADY VISTA LN
BOCA RATON FL
33428-1156
US

V. Phone/Fax

Practice location:
  • Phone: 561-558-8898
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: