Healthcare Provider Details

I. General information

NPI: 1740972751
Provider Name (Legal Business Name): RACHAEL BARBERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 N FLAGLER DR
WEST PALM BEACH FL
33401-3406
US

IV. Provider business mailing address

6180 SE TURN LEAF TRL
HOBE SOUND FL
33455-8317
US

V. Phone/Fax

Practice location:
  • Phone: 561-655-5511
  • Fax:
Mailing address:
  • Phone: 321-544-5314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11024664
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: