Reid, Dave

Reid, Dave is an individual health care provider with primary practice located at 200 Avenue F Ne Ste 9118 , Winter Haven FL 33881-4131. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Reid, Dave can be contacted via phone (863) 297-1777.

Contact Information

Primary practice address
200 Avenue F Ne Ste 9118 Winter Haven FL 33881-4131
Phone: (863) 297-1777
Fax: (863) 297-1756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9105667 Florida

Profile Details

NPI number 1891004529
LBN Legal business name Reid, Dave
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2010
Last updated Apr 13th, 2023 - 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 1891004529 NPPES
Florida MEDICAID 002813900

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