Marshall, Rebecca Holly

Marshall, Rebecca Holly is an individual health care provider with primary practice located at 620 10Th Street N. , St Petersburg FL 33705-1407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Marshall, Rebecca Holly can be contacted via phone (727) 824-8330.

Contact Information

Primary practice address
620 10Th Street N. St Petersburg FL 33705-1407
Phone: (727) 824-8330
Fax: (727) 824-8215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME57714 Florida

Profile Details

NPI number 1649266099
LBN Legal business name Marshall, Rebecca Holly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Mar 4th, 2016 - about 9 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 1649266099 NPPES
Florida MEDICAID 063511100

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