Provider Demographics
NPI:1598523268
Name:PESINA, REBECCA (5219 DO)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:PESINA
Suffix:
Gender:F
Credentials:5219 DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2001 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-1615
Mailing Address - Country:US
Mailing Address - Phone:772-589-8756
Mailing Address - Fax:772-589-9238
Practice Address - Street 1:2001 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-1615
Practice Address - Country:US
Practice Address - Phone:772-589-8756
Practice Address - Fax:772-589-9238
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician