Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RACHEL BEVERLY TALLBACKA, P.A..
ActiveRACHEL BEVERLY TALLBACKA, P.A.. is a Medical Physician Assistant healthcare provider located in LADY LAKE, Florida. NPI 1821022153 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LADY LAKE, FL
Registration Details
- NPI Number
- 1821022153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2006 (20.074701532792 yrs)
- Last Updated
- Oct 17, 2019
- Licenses
-
PA1905 (FL)2348 (AK)
Practice Information
- Address
-
13945 N US HIGHWAY 441LADY LAKE, FL, 321598924Browse FL providers · Browse ZIP 32159
- Phone
- 3522773500
- Fax
- 3522773498
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in LADY LAKE, FL
| Name | Credential | NPI |
|---|---|---|
| LYNN HUBBARD | PA-C | 1760419980 |
| TYLER LYALL HANSON | PA-C | 1043031453 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.