Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | OS13936 | FL |
Y | 111NI0900X | Internist | OS13936 | FL |
NPI | 1003221292 |
---|---|
Provider Name | Ryan James Reed |
First Address | Temple Terrace, FL 33637-0926 |
Second Address | Temple Terrace, FL 33637-0926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2014 |
Last Update Date | 13/11/2019 |