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DR. REBEKAH ANNE SMITH OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1962630277

Individual Registrant:
DR. REBEKAH ANNE SMITH OD
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

Contact information for business:
15037 MADEIRA WAY  MADEIRA BEACH, FL 33708 US
Tel: 727-800-4411  Fax: 727-491-5075

Registration Information:
NPI: 1962630277
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
FLOPC4673

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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