Individual
RACHEL OWSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
403 VONDERBURG DR, BRANDON, FL 33511-5501
(813) 681-1122
(813) 684-4924
Mailing address
403 VONDERBURG DR, BRANDON, FL 33511-5501
(813) 654-0528
(813) 654-4365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092755
MI
207W00000X
Ophthalmology Physician
Primary
159804
FL
207W00000X
Ophthalmology Physician
2012020846
MO
207W00000X
Ophthalmology Physician
51915
TN
207W00000X
Ophthalmology Physician
ME159804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376707216
—
MO
05
—
1939760014
—
AR
01
—
431560263
TRICARE
MO
01
—
P01094289
RR MCR
MO
Enumeration date
07/10/2008
Last updated
10/01/2024
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