Provider Demographics
NPI:1386828184
Name:DAVID N REINHARD MD PA
Entity type:Organization
Organization Name:DAVID N REINHARD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:REINHARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-531-8331
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-531-8331
Mailing Address - Fax:305-674-3106
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE 330
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-531-8331
Practice Address - Fax:305-674-3106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME15391207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD58498Medicare UPIN