Organization
DEAN L RACKLEFF MD PA
Active
Organization
DEAN L RACKLEFF MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN LAWRENCE RACKLEFF MD (PRESIDENT)
(239) 455-9946
Entity
Organization
Contact information
Practice address
9400 BONITA BEACH RD SE STE 102, BONITA SPRINGS, FL 34135-4520
(239) 455-9946
(239) 455-9947
Mailing address
9400 BONITA BEACH ROAD, SUITE 102, BONITA SPRINGS, FL 34135
(239) 455-9946
(239) 455-9947
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0069187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378687100
—
FL
Enumeration date
10/07/2008
Last updated
09/23/2009
Update your record
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