Provider Demographics
NPI:1265002497
Name:FISHER, RACHEL MICHAL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MICHAL
Last Name:FISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 PONCE DE LEON BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2112
Mailing Address - Country:US
Mailing Address - Phone:305-606-6002
Mailing Address - Fax:
Practice Address - Street 1:2950 DAY AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-5204
Practice Address - Country:US
Practice Address - Phone:305-606-6002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula