Provider Demographics
NPI:1780781039
Name:RACHOCKA, EVA (MD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:
Last Name:RACHOCKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:
Other - Last Name:RACHOCKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3250 ZEMKE AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33621-5023
Mailing Address - Country:US
Mailing Address - Phone:813-828-2273
Mailing Address - Fax:813-828-1983
Practice Address - Street 1:3250 ZEMKE AVE
Practice Address - Street 2:
Practice Address - City:MACDILL
Practice Address - State:FL
Practice Address - Zip Code:33621
Practice Address - Country:US
Practice Address - Phone:813-828-2273
Practice Address - Fax:813-828-1983
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74552207R00000X, 261QM1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine