Individual
DR. ANDRE PAOLO REBAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
ME155746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115316000
—
FL
Enumeration date
06/10/2013
Last updated
07/17/2023
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