Provider Demographics
NPI:1437661600
Name:ANTOINE, REBEKAH (DOULA)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:ANTOINE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8008 NW 31ST AVE APT 207
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6292
Mailing Address - Country:US
Mailing Address - Phone:305-409-4604
Mailing Address - Fax:
Practice Address - Street 1:301 NE 152ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-5017
Practice Address - Country:US
Practice Address - Phone:305-409-4604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-27
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula