MEDICARE: REBECCA M REY M.D.

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	207Q00000X	Family Medicine Physician	ME103465	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME103465	OTHER	FL	LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649412313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA M REY M.D.

Provider Business Mailing Address
First Line	:	2001 N FEDERAL HWY UNIT 301
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1018
Country	:	US
Telephone Number	:	954-942-2922
Fax Number	:	954-942-5352

Provider Business Practice Location Address
First Line	:	2001 N FEDERAL HWY UNIT 301
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1018
Country	:	US
Telephone Number	:	954-942-2922
Fax Number	:	954-942-5352

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

Provider Enumeration Date	:	03/27/2009
Last Update Date	:	06/20/2011

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