Individual
DR. DEAN L RACKLEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3467 PINE RIDGE RD, 103, NAPLES, FL 34109-3832
(239) 455-9946
(239) 455-9947
Mailing address
3467 PINE RIDGE RD, STE 103, NAPLES, FL 34109-3832
(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
01
—
28141
BCBS
FL
05
—
378687100
—
FL
01
—
460002284
MEDICARE RAILROAD
FL
Enumeration date
01/16/2007
Last updated
10/04/2012
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