Individual
RACHEL ISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120183500
—
FL
01
—
R8454
MEDICARE HF
FL
Enumeration date
05/08/2020
Last updated
12/05/2024
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