MEDICARE: RACHELLE DENISE RAGOO NP

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	363LF0000X	Family Nurse Practitioner	11043661	FL

General Provider Information

NPI Number	:	1386504298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHELLE DENISE RAGOO NP

Provider Business Mailing Address
First Line	:	7751 BELFORT PKWY STE 120
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6921
Country	:	US
Telephone Number	:	904-372-3943
Fax Number	:

Provider Business Practice Location Address
First Line	:	2582 N NOB HILL RD
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33322-7100
Country	:	US
Telephone Number	:	954-600-9747
Fax Number	:

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

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	03/24/2026

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Directions to “ RACHELLE DENISE RAGOO NP” Practice Location

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