Provider Demographics
NPI:1649412313
Name:REY, REBECCA M (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:REY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 N FEDERAL HWY UNIT 301
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1018
Mailing Address - Country:US
Mailing Address - Phone:954-942-2922
Mailing Address - Fax:954-942-5352
Practice Address - Street 1:2001 N FEDERAL HWY UNIT 301
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1018
Practice Address - Country:US
Practice Address - Phone:954-942-2922
Practice Address - Fax:954-942-5352
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME103465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME103465OtherLICENSE NUMBER