Doctor Name: | DR. HARRY REIN |
NPI Number: | 1083985485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME7982 |
Business Practice Address: | 1877 Wingfield Dr Longwood, FL - 32779 |
Business Phone Number: | 4073334444 |
Business Fax Number: | 8667230521 |
Mailing Address: | 1877 Wingfield Dr, LONGWOOD |
State: | FL |
Postal Code: | 32779 |
Phone Number: | 4073334444 |
Fax Number: | 8667230521 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | ME7982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |