Provider Demographics
NPI:1588720924
Name:REID, ROBERT JR (MD , FAAP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:REID
Suffix:JR
Gender:M
Credentials:MD , FAAP
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Mailing Address - Street 1:PO BOX 440602
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-0602
Mailing Address - Country:US
Mailing Address - Phone:786-275-8404
Mailing Address - Fax:786-275-8403
Practice Address - Street 1:1131 N 35TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5403
Practice Address - Country:US
Practice Address - Phone:954-989-5010
Practice Address - Fax:954-989-6430
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2017-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME00748782080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE22218Medicare UPIN