MEDICARE: RACHAEL C EVANS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	UO3605	FL
2	208000000X	Pediatrics Physician	60736	MN
3	208000000X	Pediatrics Physician	OS16064	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225479983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL C EVANS DO

Provider Business Mailing Address
First Line	:	4205 BELFORT RD STE 4015
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-3623
Country	:	US
Telephone Number	:	904-450-6017
Fax Number	:	904-450-6041

Provider Business Practice Location Address
First Line	:	3200 3RD ST S
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-6096
Country	:	US
Telephone Number	:	904-450-7050
Fax Number	:	904-450-7059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2013
Last Update Date	:	03/30/2023

Similar Medicare Providers

1144216227 — BEACHES EAR NOSE & THROAT
Practice Location Address:

3200 3RD ST S , SUITE 101
JACKSONVILLE BEACH, FL
32250-6096

Practice Phone: 904-247-4070
Practice Fax: 904-247-4131

1740415843 — MRS. KARA LYNN RUSSELL ARNP
Practice Location Address:

3200 3RD ST S , SUITE 200
JACKSONVILLE BEACH, FL
32250-6096

Practice Phone: 904-249-6110
Practice Fax: 904-249-6119

1013391275 — BEACHES EAR, NOSE AND THROAT, PA
Practice Location Address:

3200 3RD ST S , SUITE 101
JACKSONVILLE BEACH, FL
32250-6096

Practice Phone: 904-247-4070
Practice Fax: 904-247-4131

1164810057 — MRS. REBECCA WALTERS MED ATC
Practice Location Address:

27 SMITH BLVD
MYRTLE BEACH, SC
29588-6096

Practice Phone: 843-340-4021
Practice Fax:

1609707009 — KAYLA RAKE
Practice Location Address:

14286 BEACH BLVD STE 34
JACKSONVILLE, FL
32250-1570

Practice Phone: 904-345-7510
Practice Fax:

1982339024 — CAROLINE CRAIG
Practice Location Address:

1552 ROBERTS DR
JACKSONVILLE BEACH, FL
32250-3222

Practice Phone: 540-748-7292
Practice Fax:

Directions to “ RACHAEL C EVANS DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.