Individual
REBEKAH L. WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, JACKSONVILLE, FL 32207-8426
(904) 697-3694
(904) 697-3927
Mailing address
P.O. BOX 5720, PROVIDER ENROLLMENT DEPARTMENT, JACKSONVILLE, FL 32247-5720
(302) 651-6718
(407) 650-7578
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
50184
MN
207L00000X
Anesthesiology Physician
ME110260
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME110260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352133000
—
MN
Enumeration date
06/28/2007
Last updated
09/24/2025
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