Individual provider · Type 1 NPI
Rachel Beverly Tallbacka, P.A..
Medical Physician Assistant · Lady Lake, FL
NPI number
1821022153
Active
Practice location
13945 N US Highway 441
Lady Lake, FL 32159-8924
Fax (352) 277-3498
Mailing address
206 W Rockwell Ave, Ste 100
Soldotna, AK 99669-7439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA1905 (FL) |
| Medical Physician Assistant | 363AM0700X | 2348 (AK) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Florida Pain & Rehabilitation Institute IncInterventional Pain Medicine Physician Lady Lake, FL NPI 1740506435
- National Surgical Centers of America LLCAmbulatory Surgical Clinic/Center Lady Lake, FL NPI 1063853174
- Anesia Carter, ARNPNurse Practitioner Lady Lake, FL NPI 1891277638
- Eileen L. Delacova, RNAdult Health Nurse Practitioner Lady Lake, FL NPI 1558448613
Other medical physician assistant providers in Lady Lake
About NPI 1821022153
Rachel Beverly Tallbacka, P.A..'s National Provider Identifier is 1821022153, issued on Jul 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lady Lake, FL. The record was last updated on Oct 17, 2019.