Healthcare Provider Details

I. General information

NPI: 1780829531
Provider Name (Legal Business Name): REBECCA KAY DOYLE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 MAIN ST
ALTAMONTE SPRINGS FL
32701
US

IV. Provider business mailing address

630 MAIN ST
ALTAMONTE SPRINGS FL
32701
US

V. Phone/Fax

Practice location:
  • Phone: 407-339-6148
  • Fax: 407-339-0254
Mailing address:
  • Phone: 407-339-6148
  • Fax: 407-339-0254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP1970432
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: