Healthcare Provider Details

I. General information

NPI: 1376472241
Provider Name (Legal Business Name): REBECCA MERCY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 SW 75TH ST APT 12A
GAINESVILLE FL
32607-1764
US

IV. Provider business mailing address

205 SW 75TH ST APT 12A
GAINESVILLE FL
32607-1764
US

V. Phone/Fax

Practice location:
  • Phone: 954-851-2466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: