Individual
DR. ILYSE M RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
800 E HALLANDALE BEACH BLVD, SUITE 14, HALLANDALE BEACH, FL 33009-4477
(954) 455-2030
Mailing address
800 E HALLANDALE BEACH BLVD, SUITE 14, HALLANDALE BEACH, FL 33009-4477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9869
FL
363LF0000X
Family Nurse Practitioner
11001540
FL
Other
Enumeration date
06/09/2010
Last updated
10/23/2020
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