Tall, Reginald L.

Tall, Reginald L. is an individual health care provider with primary practice located at 1285 Orange Ave , Winter Park FL 32789-4949. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Tall, Reginald L. can be contacted via phone (407) 647-2287.

Contact Information

Primary practice address
1285 Orange Ave Winter Park FL 32789-4949
Phone: (407) 647-2287
Fax: (407) 643-2801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME0058351 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X ME0058351 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME58351 Florida

Profile Details

NPI number 1699774265
LBN Legal business name Tall, Reginald L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Nov 24th, 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 1699774265 NPPES
Florida Other 10635 BC/BS
Florida Other 200014794 BC/BS
Florida MEDICAID 063972900 BC/BS

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