MEDICARE: DR. REBECCA L. ORSINI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5280015	WI
2	1223G0001X	General Practice Dentistry	DN21630	FL

General Provider Information

NPI Number	:	1144290149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA L. ORSINI DMD

Provider Business Mailing Address
First Line	:	13100 PARK BLVD
Second Line	:	SUITE D
City	:	SEMINOLE
State	:	FL
Zip	:	33776-3539
Country	:	US
Telephone Number	:	727-391-9741
Fax Number	:	727-395-0242

Provider Business Practice Location Address
First Line	:	13100 PARK BLVD
Second Line	:	SUITE D
City	:	SEMINOLE
State	:	FL
Zip	:	33776-3539
Country	:	US
Telephone Number	:	727-391-9741
Fax Number	:	727-395-0242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	12/12/2016

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