Healthcare Provider Details

I. General information

NPI: 1962452375
Provider Name (Legal Business Name): REBECCA J HORSCHEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 MURRELL RD SUITE E
MELBOURNE FL
32940-7999
US

IV. Provider business mailing address

3466 N HARBOR CITY BLVD
MELBOURNE FL
32935-5713
US

V. Phone/Fax

Practice location:
  • Phone: 321-242-8790
  • Fax: 321-242-1541
Mailing address:
  • Phone: 321-242-8790
  • Fax: 321-242-1541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP672722
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: