Provider Demographics
NPI:1841397148
Name:DUNNAGAN, RACHEL A (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:DUNNAGAN
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 1:1721 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-6402
Mailing Address - Country:US
Mailing Address - Phone:727-734-5276
Mailing Address - Fax:727-734-5914
Practice Address - Street 1:1721 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-6402
Practice Address - Country:US
Practice Address - Phone:727-734-5276
Practice Address - Fax:727-734-5914
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78793207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine