Rebecca Sutphen
Pediatrician Clinical Genetics (M.D.)
3650 Spectrum Blvd Suite 100
Tampa
, Florida 33612
Rebecca Sutphen
Pediatrician Clinical Genetics (M.D.)
3650 Spectrum Blvd Suite 100
Tampa
, Florida 33612
(813) 396-9234
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Rebecca Sutphen
- 3650 Spectrum Blvd Suite 100
- Tampa, FL
- Zip : 33612-9446
- Phone : (813) 396-9234
Second Address
- Rebecca Sutphen
- 3650 Spectrum Blvd Suite 100
- Tampa, FL
- Zip : 33612
- Phone : (813) 396-9234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | ME0061423 | FL |
| N | 208000000X | Pediatrician | ME61423 | FL |
National Provider Identifier
| NPI | 1477568954 |
|---|---|
| Provider Name | Rebecca Sutphen |
| First Address | Tampa, FL 33612-9446 |
| Second Address | Tampa, FL 33612 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2006 |
| Last Update Date | 10/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 250378600 | (05) | FL |
| 31447 | BLUE CROSS BLUE SHIELD (01) | FL |
| G38225 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.