Rebeca Ray-Gillis Dpm, PLLC
Clinic/Center, Podiatric in Hollywood, FL. Organization (NPI-2).
NPI number1801449293
StatusActive
Last updated in NPPESDec 31, 2020
Details
- NPI
- 1801449293
- Entity type
- Organization (NPI-2)
- Legal business name
- Rebeca Ray-Gillis Dpm, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2019
- Certification date
- Dec 31, 2020
- Last updated
- Dec 31, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | – | – | Yes |
Practice location
3314 W Park RdHollywood, FL 33021-4337
Phone 954-290-2406
Mailing address
3314 W Park RdHollywood, FL 33021-4337
Phone 954-290-2406
Authorized official
Rebeca Ray-Gillis
Manager
9542902406
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Podiatric Clinic/Center providers in Hollywood, FL
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.