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Ms. Rebecca Blackwelder, PA-C
Medical Physician Assistant in Largo, Florida
NPI 1508944646

Rebecca Blackwelder is a Medical Physician Assistant based in Largo, FL and is specialized in Medical. Rebecca Blackwelder practices in Largo, FL and has the professional credentials of PA-C. The NPI Number for Rebecca Blackwelder is 1508944646 and holds a License No. PA9101004 (Florida).

The current practice location address for Rebecca Blackwelder is 1345 W Bay Dr, Largo, FL and can be reached out via phone at 727-581-3550.

Location: 1345 W Bay Dr, Largo, FL, 33770-2282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508944646
Provider Name
Rebecca Blackwelder
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1345 W Bay Dr, Largo, FL, 33770-2282
Phone Number
727-581-3550
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004858400 05 FL
institution
Provider Business Practice Location Address Details
Address
1345 W Bay Dr
City
Largo
State
Florida
Zip
33770-2282
Phone Number
727-581-3550
Fax Number
person
Provider Business Mailing Address Details
Address
1345 W Bay Dr
City
Largo
State
Florida
Zip
33770-2282
Phone Number
727-581-3550
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9101004 (Florida)
Definition
Definition to come...
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