Tallbacka, Rachel Beverly

Tallbacka, Rachel Beverly is an individual health care provider with primary practice located at 13945 N Us Highway 441 , Lady Lake FL 32159-8924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tallbacka, Rachel Beverly can be contacted via phone (352) 277-3500.

Contact Information

Primary practice address
13945 N Us Highway 441 Lady Lake FL 32159-8924
Phone: (352) 277-3500
Fax: (352) 277-3498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1905 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2348 Alaska

Profile Details

NPI number 1821022153
LBN Legal business name Tallbacka, Rachel Beverly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 17th, 2019 - about 6 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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