Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rachel Keller, PA-C

Individual provider Physician Assistant · NPI 1366969735

Rachel Keller, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4776 Hodges Blvd Ste 105
Jacksonville, FL 32224-7218
Phone: (904) 404-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110771 (FL)

Record details

NPI number1366969735
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2017
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021
Mailing address4776 Hodges Blvd, Suite 105, Jacksonville, FL 32224-7218

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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