Rachel E Krackov in Aventura - Physician Assistant
Rachel E Krackov - NPI 1922082148
Rachel E Krackov is a Physician Assistant in Aventura, Florida. Rachel E Krackov practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rachel E Krackov is 1922082148. The last update date is 2011-08-10.
Rachel E Krackov's current location address is 15400 Biscayne Blvd, Aventura, Florida. You can contact this provider via phone number 3059577277 and fax number 3059577048. The mailing address for Rachel E Krackov is 15400 Biscayne Blvd, Aventura, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rachel E Krackov |
|---|---|
| Address | 15400 Biscayne Blvd, Aventura, Florida |
| Phone Number | 3059577277 |
| Fax Number | 3059577048 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1922082148 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2011-08-10 |
Provider Mailing Address Detail
| Address | 15400 Biscayne Blvd |
|---|---|
| City | Aventura |
| State | Florida (FL) |
| Post Code | 331604614 |
| Phone Number | 3059577277 |
| Fax Number | 3059577048 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00273 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7050011 | RI | -- |
Post Comment/ Review Below
What is the Rachel E Krackov's unique identification number?
The Rachel E Krackov has been assigned the NPI (National Provider Identifier) Number 1922082148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Rachel E Krackov is geographically located?
The Rachel E Krackov is physically situated at the following location: 15400 Biscayne Blvd, Aventura, FL, 331604614.
What is Rachel E Krackov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rachel E Krackov's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Rachel E Krackov receive its 1922082148 assignment from the Centers for Medicare & Medicaid Services?
The Rachel E Krackov was assigned its 1922082148 by the Centers for Medicare & Medicaid Services on 2005-12-01.
When was the information pertaining to Rachel E Krackov most recently updated or revised?
The details related to Rachel E Krackov, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-10.