Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME0039377 | FL |
NPI | 1295895878 |
---|---|
Provider Name | Dr. Fanklin A Reyes |
First Address | Hialeah, FL 33016 |
Second Address | Hialeah, FL 33016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D78945 | (02) |