MEDICARE: RACHEL ROSENFELD

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	183500000X	Pharmacist	PS33177	FL

General Provider Information

NPI Number	:	1851995005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ROSENFELD

Provider Business Mailing Address
First Line	:	9511 SAVONA WINDS DR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9754
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4511 LANTANA RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6907
Country	:	US
Telephone Number	:	561-965-6444
Fax Number	:

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

Provider Enumeration Date	:	11/29/2020
Last Update Date	:	11/29/2020

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Directions to “ RACHEL ROSENFELD ” Practice Location

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