MEDICARE: REBECCA G SMITH MD

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	208100000X	Physical Medicine & Rehabilitation Physician	MD417555	PA
2	208100000X	Physical Medicine & Rehabilitation Physician	ME86239	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598702342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA G SMITH MD

Provider Business Mailing Address
First Line	:	11190 HEALTH PARK BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-5729
Country	:	US
Telephone Number	:	239-552-7222
Fax Number	:	239-552-7755

Provider Business Practice Location Address
First Line	:	11190 HEALTH PARK BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-5729
Country	:	US
Telephone Number	:	239-552-7222
Fax Number	:	239-552-7755

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	05/20/2025

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