Individual
DR. REZA YASREBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 380, OCALA, FL 34478-0380
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME0023965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050068088
RAILROAD MEDICARE
FL
05
—
051313000
—
FL
01
—
16877
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/02/2006
Last updated
04/15/2009
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