Individual
REBECCA LYNN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 2ND FLOOR, TAMPA, FL 33606-3603
(813) 259-8577
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME110601
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN14928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015279200
—
FL
01
—
150N4
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/08/2010
Last updated
03/22/2021
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