MEDICARE: RACHEL MEYER CPB

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1437877149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MEYER CPB

Provider Business Mailing Address
First Line	:	1227 SE 23RD PL APT 1
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-6902
Country	:	US
Telephone Number	:	239-898-9624
Fax Number	:

Provider Business Practice Location Address
First Line	:	1227 SE 23RD PL APT 1
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-6902
Country	:	US
Telephone Number	:	239-898-9624
Fax Number	:

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

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	08/18/2022

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Directions to “ RACHEL MEYER CPB” Practice Location

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