Provider Demographics
NPI:1194299339
Name:BRISKIN, REBECCAH (DO)
Entity type:Individual
Prefix:DR
First Name:REBECCAH
Middle Name:
Last Name:BRISKIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N ORANGE AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4641
Mailing Address - Country:US
Mailing Address - Phone:407-303-1380
Mailing Address - Fax:407-303-1385
Practice Address - Street 1:2501 N ORANGE AVE STE 240
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4641
Practice Address - Country:US
Practice Address - Phone:407-303-1380
Practice Address - Fax:407-303-1385
Is Sole Proprietor?:No
Enumeration Date:2019-01-21
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315210053207VF0040X
FLOS18965207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery