Healthcare Provider Details

I. General information

NPI: 1225964943
Provider Name (Legal Business Name): REBECCA NEWCOMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 BRUCE B DOWNS BLVD
WESLEY CHAPEL FL
33544-9207
US

IV. Provider business mailing address

2600 BRUCE B DOWNS BLVD
WESLEY CHAPEL FL
33544-9207
US

V. Phone/Fax

Practice location:
  • Phone: 813-929-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: