Healthcare Provider Details

I. General information

NPI: 1780689927
Provider Name (Legal Business Name): DAWN RACHMAN L.M., C.P.M
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 IMMOKALEE RD STE B
NAPLES FL
34110-1408
US

IV. Provider business mailing address

2930 IMMOKALEE RD STE B
NAPLES FL
34110-1408
US

V. Phone/Fax

Practice location:
  • Phone: 239-594-0400
  • Fax: 239-594-6971
Mailing address:
  • Phone: 239-594-0400
  • Fax: 239-594-6971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW 139
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: