Reed, Deloris

Reed, Deloris is an individual health care provider with primary practice located at 325 1St St N , Winter Haven FL 33881-4111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reed, Deloris can be contacted via phone (863) 293-1191.

Contact Information

Primary practice address
325 1St St N Winter Haven FL 33881-4111
Phone: (863) 293-1191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2103822 Florida

Profile Details

NPI number 1205978814
LBN Legal business name Reed, Deloris
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jun 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205978814 NPPES
Florida MEDICAID 308196600

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