Provider Demographics
NPI:1376706812
Name:ERNST, RASAI L (MD)
Entity Type:Individual
Prefix:DR
First Name:RASAI
Middle Name:L
Last Name:ERNST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 GOODLETTE-FRANK RD N FL 2
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5644
Mailing Address - Country:US
Mailing Address - Phone:239-212-0824
Mailing Address - Fax:
Practice Address - Street 1:708 GOODLETTE-FRANK RD N FL 2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5644
Practice Address - Country:US
Practice Address - Phone:239-212-0824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-097067207Q00000X
FLME119957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHU845ZOtherMEDICARE
FL14UA5OtherBCBS
FL14UA5OtherBCBS
OHH000870Medicare PIN