Individual
JESSE REEVES-GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8955 SW 87TH CT STE 206, MIAMI, FL 33176-2223
(786) 888-2480
(305) 274-1282
Mailing address
3200 SW 60TH CT, SUITE 204, MIAMI, FL 33155-4000
(305) 661-6110
(305) 662-5882
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME0051318
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036774500
—
FL
01
—
09858
BCBS
FL
01
—
200918
AMERIGROUP
FL
Enumeration date
07/05/2006
Last updated
09/07/2021
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