Healthcare Provider Details

I. General information

NPI: 1023966918
Provider Name (Legal Business Name): REBEKAH BRIANNE HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 E BUSCH BLVD APT 1002
TAMPA FL
33617-5971
US

IV. Provider business mailing address

4121 E BUSCH BLVD APT 1002
TAMPA FL
33617-5971
US

V. Phone/Fax

Practice location:
  • Phone: 904-718-1521
  • Fax:
Mailing address:
  • Phone: 904-718-1521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: