Reyes, Leovigildo J

Reyes, Leovigildo J is an individual health care provider with primary practice located at 4401 N Andrews Ave , Oakland Park FL 33309-3917. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Reyes, Leovigildo J can be contacted via phone (954) 900-4686.

Contact Information

Primary practice address
4401 N Andrews Ave Oakland Park FL 33309-3917
Phone: (954) 900-4686
Fax: (954) 900-2655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 038929 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME85999 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 038929 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME85999 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME85999 Florida

Profile Details

NPI number 1104810399
LBN Legal business name Reyes, Leovigildo J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Mar 15th, 2024 - about 9 months 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 1104810399 NPPES
Georgia Other 038929 AMERIGROUP
Georgia Other ME85999 AMERIGROUP
Georgia Other 038929 AMERIGROUP
Georgia Other 038929 AMERIGROUP
Georgia MEDICAID ME85999 AMERIGROUP
Georgia Other 038929 AMERIGROUP
Georgia MEDICAID 038929 AMERIGROUP
Georgia Other 038929 AMERIGROUP
Georgia Other ME85999 AMERIGROUP
Georgia Other ME85999 AMERIGROUP
Georgia Other 038929 AMERIGROUP

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