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Individual

MS. REBECCA ANN RATLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
5153 NORTH 9TH AVE., NEMOURS CHILDRENS CLINIC, PENSACOLA, PENSACOLA, FL 32504-8785
(850) 505-4735
(850) 505-4711
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6718
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
AUD003861
GA
231H00000X
Audiologist
Primary
AY1744
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S00WU
BCBS OF FLORIDA
FL
Enumeration date
08/19/2011
Last updated
03/02/2015
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