Reisman, Terence N

Reisman, Terence N is an individual health care provider with primary practice located at 1300 Miccosukee Rd Fsu/Tmh Internal Medicine Residency Program, Tallahassee FL 32308-5314. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Reisman, Terence N can be contacted via phone (850) 431-7900.

Contact Information

Primary practice address
1300 Miccosukee Rd Fsu/Tmh Internal Medicine Residency Program Tallahassee FL 32308-5314
Fax: (850) 431-7990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME 15393 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME15393 Florida

Profile Details

NPI number 1619926227
LBN Legal business name Reisman, Terence N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Mar 13th, 2015 - 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 1619926227 NPPES
Florida Other 37199X BCBS PROVIDER NUMBER
Florida MEDICAID 055323900 BCBS PROVIDER NUMBER

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