Individual
RACHEL TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4700 SHERIDAN ST STE C, HOLLYWOOD, FL 33021-3416
(954) 961-3252
Mailing address
4700 SHERIDAN ST STE C, HOLLYWOOD, FL 33021-3416
(954) 961-3252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009014846
MO
207RR0500X
Rheumatology Physician
Primary
P2679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340353701
—
TX
Enumeration date
08/13/2009
Last updated
12/03/2018
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