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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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