Reiss, Jared P.

Reiss, Jared P. is an individual health care provider with primary practice located at 4961 Royal Gulf Cir , Fort Myers FL 33966-7006. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Reiss, Jared P. can be contacted via phone (239) 687-4015.

Contact Information

Primary practice address
4961 Royal Gulf Cir Fort Myers FL 33966-7006
Phone: (239) 687-4015
Fax: (321) 421-0393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3719 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3719 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3719 Florida

Profile Details

NPI number 1558360206
LBN Legal business name Reiss, Jared P.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jan 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558360206 NPPES
Florida MEDICAID 021420100

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