Rachelle, Maxine R.

Rachelle, Maxine R. is an individual health care provider with primary practice located at 130 Tamiami Trl N #220, Naples FL 34102-6224. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Rachelle, Maxine R. can be contacted via phone (239) 624-1700.

Contact Information

Primary practice address
130 Tamiami Trl N #220 Naples FL 34102-6224
Phone: (239) 624-1700
Fax: (239) 434-8605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9106472 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106472 Florida

Profile Details

NPI number 1558394304
LBN Legal business name Rachelle, Maxine R.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558394304 NPPES
Florida Other HY592Y MEDICARE
Florida MEDICAID 02676873 MEDICARE
Florida MEDICAID 010616700 MEDICARE
Florida Other Y0L7H MEDICARE

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