Provider Demographics
NPI:1639411077
Name:NEGRON, REBECCA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LEE
Last Name:NEGRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3520 38TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-1448
Mailing Address - Country:US
Mailing Address - Phone:727-471-5039
Mailing Address - Fax:727-471-6446
Practice Address - Street 1:3520 38TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-1448
Practice Address - Country:US
Practice Address - Phone:727-471-5039
Practice Address - Fax:727-471-6446
Is Sole Proprietor?:No
Enumeration Date:2013-03-24
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 126702207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine