Provider Demographics
NPI:1144572132
Name:ADAI, REBEKAH T (RN, WHNP)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:T
Last Name:ADAI
Suffix:
Gender:F
Credentials:RN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 HOLLYWOOD BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6557
Mailing Address - Country:US
Mailing Address - Phone:954-967-0028
Mailing Address - Fax:954-967-8141
Practice Address - Street 1:5010 HOLLYWOOD BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6557
Practice Address - Country:US
Practice Address - Phone:210-226-9705
Practice Address - Fax:210-223-4555
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX752140363LW0102X
FLAPRN11022330363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health