Sutphen, Rebecca

Sutphen, Rebecca is an individual health care provider with primary practice located at 111 2Nd Ave Ne Ste 700 , Saint Petersburg FL 33701-3441. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Molecular Genetics, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Sutphen, Rebecca can be contacted via phone (800) 975-4819.

Contact Information

Primary practice address
111 2Nd Ave Ne Ste 700 Saint Petersburg FL 33701-3441
Phone: (800) 975-4819
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X ME0061423 Florida
Allopathic & Osteopathic Physicians / Clinical Molecular Genetics 207SG0203X ME0061423 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME61423 Florida
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X ME0061423 Florida

Profile Details

NPI number 1477568954
LBN Legal business name Sutphen, Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 12th, 2022 - about 2 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 1477568954 NPPES
Florida Other 31447 BLUE CROSS BLUE SHIELD
Florida MEDICAID 250378600 BLUE CROSS BLUE SHIELD

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