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15037 Madeira Way, Madeira Beach, FL 33708-1911 | |
(727) 800-4411 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 15037 Madeira Way, Madeira Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215414487 | NPI | - | NPPES |
004718000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPC4673 (Florida) | Primary |
Provider Name | Rebekah Anne Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962630277 PECOS PAC ID: 6608030572 Enrollment ID: I20120606000333 |
Mailing Address | Practice Location Address |
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15037 Madeira Way, Madeira Beach, FL 33708-1911 Ph: () - | 15037 Madeira Way, Madeira Beach, FL 33708-1911 Ph: (727) 800-4411 |
Dr. Rebekah Anne Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15037 Madeira Way, Madeira Beach, FL 33708 Phone: 727-800-4411 Fax: 727-491-5075 |