Organization Active NPI

Harold M. Rehbein, M.D., P.a.

  • Dermatology Physician
  • Jacksonville, FL
National Provider Identifier
1376527937
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0017350 Issued in FL
Legal business name
HAROLD M. REHBEIN, M.D., P.A.
Practice address
5757 Booth Rd
#200
Jacksonville, FL 32207-5980
Phone
(904) 730-0078
Fax
(904) 730-0322
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harold M Rehbein, M.D.
Title
Physician
Phone
(904) 730-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME0017350 FL Primary

Addresses

Primary practice location

5757 Booth Rd
#200
Jacksonville, FL 32207-5980

Mailing address

5757 Booth Rd
#200
Jacksonville, FL 32207-5980
Phone (904) 730-0078

National Provider Directory

National Provider Directory

Locations

5757 Booth Rd
Bldg 200
Jacksonville, FL 32207
Phone (904) 636-9510

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1376527937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 BOOTH RD",
            "address_2": "#200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075980",
            "telephone_number": "904-730-0078",
            "fax_number": "904-730-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 BOOTH RD",
            "address_2": "#200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075980",
            "telephone_number": "904-730-0078",
            "fax_number": "904-730-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD M. REHBEIN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "REHBEIN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-730-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0017350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.