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Contact Information

REBECCA SUTPHEN, MD
111 2ND AVE NE STE 700
SAINT PETERSBURG, FL33701-3441
 Phone: 800-975-4819
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

207SG0201X
 

Clinical Cytogenetics

207SC0300X
 

Clinical Molecular Genetics

207SG0203X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for REBECCA SUTPHEN · (Female)

NPI # 1477568954
Status Active
Credentials MD
Entity Individual
Enumeration date 07/30/2006
Last updated 12/12/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0061423
  • FL License # ME61423
  • FL Medicaid 250378600
  • FL Other 31447 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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