Andrew, Rebecca H

Andrew, Rebecca H is an individual health care provider with primary practice located at 820 Prudential Dr Ste 304 Credentialing Department, Jacksonville FL 32207-8205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Andrew, Rebecca H can be contacted via phone (904) 348-0974.

Contact Information

Primary practice address
820 Prudential Dr Ste 304 Credentialing Department Jacksonville FL 32207-8205
Phone: (904) 348-0974
Fax: (904) 348-5627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME96461 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME96461 Florida

Profile Details

NPI number 1760596647
LBN Legal business name Andrew, Rebecca H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760596647 NPPES
Florida Other P00469528 RR MEDICARE
Florida MEDICAID 2766116-00 RR MEDICARE

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