Provider Demographics
NPI:1306065644
Name:REININGER, JEFFREY VINCENT (AP DOM NMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:VINCENT
Last Name:REININGER
Suffix:
Gender:M
Credentials:AP DOM NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3067 BAYBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-8012
Mailing Address - Country:US
Mailing Address - Phone:954-227-3773
Mailing Address - Fax:
Practice Address - Street 1:961 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3110
Practice Address - Country:US
Practice Address - Phone:954-667-0238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL951171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist