NPI Code Details Logo

NPI 1154494912

NPI 1154494912 : ELENA TERESA REHL MD : WEST PALM BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154494912
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ELENA TERESA REHL MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/17/2006
-----------------------------------------------------
    Last Update Date     |    11/27/2019
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1411 N FLAGLER DR STE 5000 
-----------------------------------------------------
    City                 |    WEST PALM BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33401-3410
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-655-6622
-----------------------------------------------------
    Fax                  |    561-655-6623
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4700 WATERS AVE STE 405 
-----------------------------------------------------
    City                 |    SAVANNAH
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31404-6220
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    912-350-2700
-----------------------------------------------------
    Fax                  |    912-350-2715
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    070415
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    MD48118
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2086X0206X
-----------------------------------------------------
    Taxonomy Name        |    Surgical Oncology Physician
-----------------------------------------------------
    License Number       |    MD48118
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2086X0206X
-----------------------------------------------------
    Taxonomy Name        |    Surgical Oncology Physician
-----------------------------------------------------
    License Number       |    070415
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2086X0206X
-----------------------------------------------------
    Taxonomy Name        |    Surgical Oncology Physician
-----------------------------------------------------
    License Number       |    ME138898
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.