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Individual

DR. REBECCA COPELAND PRUITT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
480 7TH AVE S, ST PETERSBURG, FL 33701
(727) 822-4300
(727) 822-9515
Mailing address
480 7TH AVE S, ST PETERSBURG, FL 33701
(727) 822-4300
(727) 822-9515

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME93218
FL

Other

Enumeration date
01/30/2006
Last updated
07/08/2007
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