Individual
REBECCA JOY RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668
(239) 424-2196
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(941) 627-6128
(941) 764-7071
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
2019-01522
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0102203854
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS17985
FL
Other
Enumeration date
05/23/2016
Last updated
02/13/2025
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