Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | ME140085 | FL |
NPI | 1538432190 |
---|---|
Provider Name | Dr. Brian Christopher Reed |
First Address | Gainesville, FL 32607-2822 |
Second Address | Gainesville, FL 32607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2012 |
Last Update Date | 03/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103129100 | (05) | FL |