Reyes, Juan J

Reyes, Juan J is an individual health care provider with primary practice located at 6181 N Federal Hwy , Fort Lauderdale FL 33308-2227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reyes, Juan J can be contacted via phone (954) 493-6496.

Contact Information

Primary practice address
6181 N Federal Hwy Fort Lauderdale FL 33308-2227
Phone: (954) 493-6496
Fax: (954) 493-6726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME59426 Florida

Profile Details

NPI number 1134118938
LBN Legal business name Reyes, Juan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Sep 2nd, 2020 - about 4 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 1134118938 NPPES
Florida MEDICAID 009896300

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