Suddarth, Rachael L
Suddarth, Rachael L is an individual health care provider with primary practice located at 1840 Mease Dr Ste 404 , Safety Harbor FL 34695-6606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Suddarth, Rachael L can be contacted via phone (727) 712-0980.Contact Information
Primary practice address
1840 Mease Dr Ste 404
Safety Harbor FL 34695-6606
Phone: (727) 712-0980
Fax: (813) 635-2694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9105226 | Florida |
Profile Details
| NPI number | 1447483466 |
|---|---|
| LBN Legal business name | Suddarth, Rachael L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2009 |
| Last updated | Apr 20th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447483466 | NPPES |
| Florida | MEDICAID | 001535500 |
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