Healthcare Provider Details

I. General information

NPI: 1750011532
Provider Name (Legal Business Name): RACHEL LINNA HIBBERD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 W SR 426 STE 2011
OVIEDO FL
32765-4515
US

IV. Provider business mailing address

2441 W SR 426 STE 2011
OVIEDO FL
32765-4515
US

V. Phone/Fax

Practice location:
  • Phone: 407-678-6888
  • Fax: 407-359-5454
Mailing address:
  • Phone: 407-678-6888
  • Fax: 407-359-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS23418
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: