Doctor Name: | DR. MYRA A REED |
NPI Number: | 1215996434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME57769 |
Business Practice Address: | 1814 Thomas Dr Panama City Beach, FL - 324085825 |
Business Phone Number: | 8502495000 |
Business Fax Number: | 8502495008 |
Mailing Address: | 1814 Thomas Drive, PANAMA CITY BEACH |
State: | FL |
Postal Code: | 32408 |
Phone Number: | 8502495000 |
Fax Number: | 8502495008 |
NPI Enumeration Date: | 03/18/2006 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | ME57769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |