Individual
RACHAEL L SUDDARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1840 MEASE DR STE 404, SAFETY HARBOR, FL 34695-6606
(727) 712-0980
(813) 635-2694
Mailing address
1840 MEASE DR STE 404, SAFETY HARBOR, FL 34695-6606
(727) 712-0980
(813) 635-2694
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001535500
—
FL
Enumeration date
08/25/2009
Last updated
04/20/2023
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