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Individual

REBECCA ANN PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
602 S AUDUBON AVE STE B, TAMPA, FL 33609-4217
(813) 853-0500
Mailing address
PO BOX 10891, TAMPA, FL 33679-0891
(863) 443-3156

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11020288
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11020288
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11020288
FL

Other

Enumeration date
07/30/2022
Last updated
02/24/2025
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