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DR. REBEKAH ANNE SMITH OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1962630277
Individual Registrant:DR. REBEKAH ANNE SMITH OD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
15037 MADEIRA WAY MADEIRA BEACH, FL 33708 US
Tel: 727-800-4411 Fax: 727-491-5075
Tel: 727-800-4411 Fax: 727-491-5075
Contact information for business:
15037 MADEIRA WAY MADEIRA BEACH, FL 33708 US
Tel: 727-800-4411 Fax: 727-491-5075
Tel: 727-800-4411 Fax: 727-491-5075
Registration Information:
NPI: 1962630277
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | FL | OPC4673 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
