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NPI Code Detail

MEDICARE: MRS. REBECCA LYNN CAVANAGH

MEDICARE: MRS. REBECCA LYNN CAVANAGH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN9556863FL

General Provider Information

NPI Number : 1215883566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA LYNN CAVANAGH
Provider Business Mailing Address
First Line : 9981 S HEALTHPARK DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3618
Country : US
Telephone Number : 239-343-5000
Fax Number :
Provider Business Practice Location Address
First Line : 9981 S HEALTHPARK DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3618
Country : US
Telephone Number : 239-343-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MRS. REBECCA LYNN CAVANAGH ” Practice Location

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