| Doctor Name: | DR. MARSHA KIDDER RAUCH |
| NPI Number: | 1164495396 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R.N.P., PHD. |
| License Number: | ARNP518912 |
| Business Practice Address: | 2000 Prevatt St Suite B3 Eustis, FL - 327266149 |
| Business Phone Number: | 4078691450 |
| Business Fax Number: | 4075744625 |
| Mailing Address: | 1450 West Lake Brantley Road, LONGWOOD |
| State: | FL |
| Postal Code: | 327794766 |
| Phone Number: | 4078691450 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 03/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP518912 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |