MEDICARE: DR. RACQUEL VERA-MCLEAN PHD, APRN

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	363L00000X	Nurse Practitioner	ARNP2724872	FL
2	363LP2300X	Primary Care Nurse Practitioner	APRN2724972	FL
3	363LP2300X	Primary Care Nurse Practitioner	APRN2724872	FL
4	2080A0000X	Pediatric Adolescent Medicine Physician	APRN2724872	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710939970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACQUEL VERA-MCLEAN PHD, APRN

Provider Business Mailing Address
First Line	:	5550 GLADES RD STE 500
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7277
Country	:	US
Telephone Number	:	954-271-4484
Fax Number	:	954-869-2542

Provider Business Practice Location Address
First Line	:	3100 CORAL HILLS DR STE 207
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4139
Country	:	US
Telephone Number	:	954-344-5590
Fax Number	:	954-755-8387

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/10/2024

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