Healthcare Provider Details

I. General information

NPI: 1447451257
Provider Name (Legal Business Name): REBECCA SCOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 NORTHDALE BLVD SUITE 101A
TAMPA FL
33624-1863
US

IV. Provider business mailing address

3820 NORTHDALE BLVD SUITE 101A
TAMPA FL
33624-1863
US

V. Phone/Fax

Practice location:
  • Phone: 813-264-7734
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN3060062
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: