Provider Demographics
NPI:1134164932
Name:ORSINI, RACHELE MARIE (AUD)
Entity type:Individual
Prefix:DR
First Name:RACHELE
Middle Name:MARIE
Last Name:ORSINI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 406153
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1876
Mailing Address - Country:US
Mailing Address - Phone:727-343-3019
Mailing Address - Fax:727-343-0606
Practice Address - Street 1:947 TYRONE BLVD.
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710
Practice Address - Country:US
Practice Address - Phone:727-343-3019
Practice Address - Fax:727-343-0606
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1263231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4899725OtherGHI
FL600433400Medicaid
FL4899725OtherGHI
FLS2797ZMedicare PIN