Individual
ANDREW EARL REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4140 NW 12TH ST, LAUDERHILL, FL 33313-5816
(954) 739-3331
Mailing address
4140 NW 12TH ST, LAUDERHILL, FL 33313-5816
(954) 739-3331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106515
FL
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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