Individual
MISS REBECCA AGNES FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
1 11TH AVE STE A1, SHALIMAR, FL 32579-1318
(850) 651-0160
(850) 651-0160
Mailing address
9A MAGNOLIA AVE SE, FT WALTON BEACH, FL 32548-5617
(850) 243-1830
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0759
BLUE CROSS BLUE SHIELD-AC
FL
01
—
C1660
BLUE CROSSBLUE SHIELD-MAS
FL
Enumeration date
05/03/2006
Last updated
12/06/2021
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