Healthcare Provider Details

I. General information

NPI: 1235879792
Provider Name (Legal Business Name): DR RACHEL RAMIREZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6817 SOUTHPOINT PKWY STE 401
JACKSONVILLE FL
32216-6279
US

IV. Provider business mailing address

680 WOODDELL DR
SAFETY HARBOR FL
34695-4150
US

V. Phone/Fax

Practice location:
  • Phone: 904-325-6014
  • Fax:
Mailing address:
  • Phone: 727-723-4999
  • Fax: 904-785-7798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL RAMIREZ
Title or Position: OWNER
Credential: DC
Phone: 904-472-8728