Healthcare Provider Details

I. General information

NPI: 1790403723
Provider Name (Legal Business Name): RACHEL CAIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19505 BISCAYNE BLVD STE 2230
MIAMI FL
33180-3644
US

IV. Provider business mailing address

19505 BISCAYNE BLVD STE 2230
MIAMI FL
33180-3644
US

V. Phone/Fax

Practice location:
  • Phone: 305-526-4530
  • Fax:
Mailing address:
  • Phone: 305-526-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11020238
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2378015
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: