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Contact Information

SHOBHA REBALA, APRN
2617 MITCHAM DR STE 102
TALLAHASSEE, FL32308-5479
 Phone: 850-878-1171
 Fax: 850-942-1291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SHOBHA REBALA · (Female)

NPI # 1457731663
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/02/2015
Last updated 11/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP9179052
  • FL Medicaid 018671700
  • FL Medicaid 060754100
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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