Provider Demographics
NPI:1841714052
Name:ANOZIER, REBECCA MARIE-DANIELLE
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MARIE-DANIELLE
Last Name:ANOZIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 NW 83RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2683
Mailing Address - Country:US
Mailing Address - Phone:352-871-3791
Mailing Address - Fax:
Practice Address - Street 1:479 NW 83RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150
Practice Address - Country:US
Practice Address - Phone:352-871-3791
Practice Address - Fax:352-871-3791
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-29
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9335028163W00000X
FLAPRN9335028367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse