Individual
JAY A REICHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4211 W BOY SCOUT BLVD, SUITE 400, TAMPA, FL 33607-5724
(855) 485-3262
(813) 443-8255
Mailing address
4211 W BOY SCOUT BLVD, STE 400, TAMPA, FL 33607-5766
(352) 302-0425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2011-01321
NC
207L00000X
Anesthesiology Physician
270089-1
NY
207L00000X
Anesthesiology Physician
Primary
ME68278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03631252
—
NY
01
—
27061
BCBS OF FLORIDA
FL
01
—
50042858
MEDICARE RAILROAD
FL
Enumeration date
01/31/2006
Last updated
09/07/2023
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