Basic Information
Provider Information
NPI: 1497984710
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEMMONS
FirstName: RACHEL
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 DAVIS BLVD STE 503
Address2:  
City: TAMPA
State: FL
PostalCode: 336063480
CountryCode: US
TelephoneNumber: 8136275973
FaxNumber: 8132546440
Practice Location
Address1: 1 DAVIS BLVD STE 503
Address2:  
City: TAMPA
State: FL
PostalCode: 336063480
CountryCode: US
TelephoneNumber: 8136275973
FaxNumber: 8132546440
Other Information
ProviderEnumerationDate: 07/08/2009
LastUpdateDate: 10/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PE0004XME112294FLN Allopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
207P00000XME112294FLY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home