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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891004529 | NPPES |
| Florida | MEDICAID | 002813900 |
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