Healthcare Provider Details

I. General information

NPI: 1700465713
Provider Name (Legal Business Name): RACHEL CLAIRE OPPENHEIM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 CAPITAL MEDICAL BLVD
TALLAHASSEE FL
32308-4402
US

IV. Provider business mailing address

2626 CARE DR STE 206
TALLAHASSEE FL
32308-4489
US

V. Phone/Fax

Practice location:
  • Phone: 850-219-2306
  • Fax: 850-219-2348
Mailing address:
  • Phone: 850-219-2306
  • Fax: 850-219-2348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS24096
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: