Healthcare Provider Details

I. General information

NPI: 1861627085
Provider Name (Legal Business Name): RACHELLE A SCHWARTZ D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 6TH AVE S SUITE 340
ST PETERSBURG FL
33701-4662
US

IV. Provider business mailing address

625 6TH AVE S SUITE 340
ST PETERSBURG FL
33701-4662
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-7903
  • Fax: 727-767-7905
Mailing address:
  • Phone: 727-767-7903
  • Fax: 727-767-7905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberOS10053
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS10053
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: