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NPI Code Detail

MEDICARE: RACHEL ACKROYD CRDH

MEDICARE: RACHEL ACKROYD CRDH
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
1124Q00000XDental HygienistDH23310FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DH23310OTHERFLSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE

General Provider Information

NPI Number : 1326636887
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ACKROYD CRDH
Provider Business Mailing Address
First Line : 1339 N SUMTER BLVD
Second Line :
City : NORTH PORT
State : FL
Zip : 34286-8072
Country : US
Telephone Number : 941-876-4023
Fax Number :
Provider Business Practice Location Address
First Line : 1339 N SUMTER BLVD
Second Line :
City : NORTH PORT
State : FL
Zip : 34286-8072
Country : US
Telephone Number : 941-876-4023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2021
Last Update Date : 01/09/2021

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Directions to “ RACHEL ACKROYD CRDH” Practice Location

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