Healthcare Provider Details

I. General information

NPI: 1821434564
Provider Name (Legal Business Name): RACHEL DANIELLE ADAMS-LA ROCHE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

320 VILLA DOMANI CT
DAVENPORT FL
33896-5219
US

V. Phone/Fax

Practice location:
  • Phone: 910-476-4070
  • Fax:
Mailing address:
  • Phone: 910-476-4070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number077910
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD90313
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberME172118
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: