MEDICARE: REBEKAH ANTOINE DOULA

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
1	374J00000X	Doula		FL

General Provider Information

NPI Number	:	1437661600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH ANTOINE DOULA

Provider Business Mailing Address
First Line	:	8008 NW 31ST AVE APT 207
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-6292
Country	:	US
Telephone Number	:	305-409-4604
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 NE 152ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33162-5017
Country	:	US
Telephone Number	:	305-409-4604
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2017
Last Update Date	:	12/04/2022

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Directions to “ REBEKAH ANTOINE DOULA” Practice Location

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