Basic Information
Provider Information
NPI: 1699843045
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APANOVITCH
FirstName: REBECCA
MiddleName: ANN HOPKINS
NamePrefix: MRS.
NameSuffix:  
Credential: MSN, NNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5955 PONCE DE LEON BLVD
Address2:  
City: CORAL GABLES
State: FL
PostalCode: 331462423
CountryCode: US
TelephoneNumber: 3056628668
FaxNumber: 3056623723
Practice Location
Address1: 21644 STATE ROAD 7
Address2: WEST BOCA MEDICAL CENTER NICU
City: BOCA RATON
State: FL
PostalCode: 334281842
CountryCode: US
TelephoneNumber: 5614888119
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/02/2006
LastUpdateDate: 08/01/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LC0200XARNP 3144572FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
304 486 60005FL MEDICAID


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