Provider Demographics
NPI:1205338266
Name:REKKAS, BRITTANY FAITH (APRN)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:FAITH
Last Name:REKKAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:FAITH
Other - Last Name:GODWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 RIVERFRONT BLVD. SUITE 710
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205
Mailing Address - Country:US
Mailing Address - Phone:941-209-0610
Mailing Address - Fax:941-776-4057
Practice Address - Street 1:12271 US HIGHWAY 301 N
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219
Practice Address - Country:US
Practice Address - Phone:941-776-4050
Practice Address - Fax:941-776-4057
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-06
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9372074363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL025150500Medicaid