Reese, Bradley R

Reese, Bradley R is an sole proprietor health care provider with primary practice located at 1781 Park Center Dr Suite 210, Orlando FL 32835-6254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Reese, Bradley R can be contacted via phone (407) 351-0675.

Contact Information

Primary practice address
1781 Park Center Dr Suite 210 Orlando FL 32835-6254
Phone: (407) 351-0675
Fax: (407) 352-1867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME50851 Florida

Profile Details

NPI number 1780762849
LBN Legal business name Reese, Bradley R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1780762849 NPPES
Florida MEDICAID 251669100

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