Individual
JEFFREY REISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2059 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6132
(954) 752-0589
(954) 753-1101
Mailing address
10866 NW 6TH ST, CORAL SPRINGS, FL 33071-7940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1610
FL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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