Raquelle Alicia Headley in Lakeland - Family Medicine
Raquelle Alicia Headley - NPI 1538242334
Raquelle Alicia Headley is a Family Medicine in Lakeland, Florida. Raquelle Alicia Headley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Raquelle Alicia Headley is 1538242334. The last update date is 2010-08-24.
Raquelle Alicia Headley's current location address is 130 Pablo St, Lakeland, Florida. You can contact this provider via phone number 8632845941. The mailing address for Raquelle Alicia Headley is 130 Pablo St, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Raquelle Alicia Headley |
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Address | 130 Pablo St, Lakeland, Florida |
Phone Number | 8632845941 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1538242334 |
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Provider Enumeration Date | 2006-10-23 |
Last Updated Date | 2010-08-24 |
Provider Mailing Address Detail
Address | 130 Pablo St |
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City | Lakeland |
State | Florida (FL) |
Post Code | 338033818 |
Phone Number | 8632845941 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | ME100756 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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518100 | FL | -- |
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What is the Raquelle Alicia Headley's 1538242334?
The Raquelle Alicia Headley's NPI (National Provider Identifier) Number is 1538242334. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Raquelle Alicia Headley located?
The Raquelle Alicia Headley is located at 130 Pablo St, Lakeland, FL 338033818.
What is Raquelle Alicia Headley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Raquelle Alicia Headley's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Raquelle Alicia Headley receive the assignment of its 1538242334 from the Centers for Medicare & Medicaid Services?
The Raquelle Alicia Headley was issued its 1538242334 by the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the Raquelle Alicia Headley's details last updated?
The information pertaining to the Raquelle Alicia Headley, including its address, specialty, and other details, was most recently updated on 2010-08-24.