Healthcare Provider Details

I. General information

NPI: 1194636357
Provider Name (Legal Business Name): ELIZABETH RINKAVAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 N ROOSELVELT BLVD M21
KEY WEST FL
33040-3675
US

IV. Provider business mailing address

1200 4TH ST # 215
KEY WEST FL
33040-3763
US

V. Phone/Fax

Practice location:
  • Phone: 856-287-7746
  • Fax:
Mailing address:
  • Phone: 856-287-7746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: