Individual
DR. RACHEL ELIZABETH O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 972-5753
Mailing address
12479 TELECOM DR, TEMPLE TERRACE, FL 33637-0913
(813) 972-4199
(813) 972-5753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
002725
GA
207P00000X
Emergency Medicine Physician
Primary
ME112862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005936400
—
FL
01
—
14M2X
BCBS FLORIDA
FL
Enumeration date
12/29/2007
Last updated
11/08/2012
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