Reineke, Fred W

Reineke, Fred W is an individual health care provider with primary practice located at 1600 S Andrews Ave , Ft Lauderdale FL 33316-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Reineke, Fred W can be contacted via phone (954) 355-4400.

Contact Information

Primary practice address
1600 S Andrews Ave Ft Lauderdale FL 33316-2510
Phone: (954) 355-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME0045335 Florida

Profile Details

NPI number 1710086004
LBN Legal business name Reineke, Fred W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 12th, 2014 - about 10 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 1710086004 NPPES
Florida Other 96683 BCBS OF FLORIDA
Florida MEDICAID 256866700 BCBS OF FLORIDA

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