Provider Demographics
NPI:1912085556
Name:PIRELA, REBECCA NADJA (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:NADJA
Last Name:PIRELA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1417 N. SEMORAN BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807
Mailing Address - Country:US
Mailing Address - Phone:407-480-5515
Mailing Address - Fax:407-480-5518
Practice Address - Street 1:1800 MERCY DR
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-5646
Practice Address - Country:US
Practice Address - Phone:407-905-8827
Practice Address - Fax:407-209-3202
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-10-23
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Provider Licenses
StateLicense IDTaxonomies
FLME71610207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004549300Medicaid
FL004549300Medicaid