Reedy, Clayton Dale

Reedy, Clayton Dale is an individual health care provider with primary practice located at 500 E Central Ave , Winter Haven FL 33880-3053. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Reedy, Clayton Dale can be contacted via phone (863) 293-1191.

Contact Information

Primary practice address
500 E Central Ave Winter Haven FL 33880-3053
Phone: (863) 293-1191
Fax: (863) 292-4112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 9271730 Florida

Profile Details

NPI number 1558765479
LBN Legal business name Reedy, Clayton Dale
Credentials N.P.-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2014
Last updated Jul 21st, 2022 - about 2 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 1558765479 NPPES
Florida MEDICAID 014157600

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