Active NPI
Harold M. Rehbein, M.D., P.a.
- Dermatology Physician
- Jacksonville, FL
National Provider Identifier
1376527937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME0017350
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.