| Doctor Name: | MRS. RACHEL ELLEN SALERNO |
| NPI Number: | 1043586662 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | ARNP 9298152 |
| Business Practice Address: | 1185 Dunlawton Ave Suite 104 Port Orange, FL - 321272905 |
| Business Phone Number: | 3867675477 |
| Business Fax Number: | 3867675580 |
| Mailing Address: | 1185 Dunlawton Ave, Suite 104 PORT ORANGE |
| State: | FL |
| Postal Code: | 321272905 |
| Phone Number: | 3867675477 |
| Fax Number: | 3867675580 |
| NPI Enumeration Date: | 03/28/2012 |
| NPI Last Update Date: | 09/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP 9298152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |