Individual
LAWRENCE MICHAEL REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 N 35TH AVE, SUITE 605, HOLLYWOOD, FL 33021
(954) 265-7900
(954) 276-0264
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 43494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044441300
—
FL
Enumeration date
05/18/2006
Last updated
02/03/2022
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