Reiss, Andrew Waldorf

Reiss, Andrew Waldorf is an individual health care provider with primary practice located at 19615 S State Rd 7 Suite 32, Boca Raton FL 33498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reiss, Andrew Waldorf can be contacted via phone (561) 477-7700.

Contact Information

Primary practice address
19615 S State Rd 7 Suite 32 Boca Raton FL 33498
Fax: (561) 477-7707
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME82185 Florida

Profile Details

NPI number 1306835194
LBN Legal business name Reiss, Andrew Waldorf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 19th, 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 1306835194 NPPES
Florida MEDICAID 261096500

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