Individual
ANTHONY REEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2931 BANZA ST, TAMPA, FL 33605-2769
(727) 542-4313
Mailing address
2931 BANZA ST, TAMPA, FL 33605-2769
(727) 542-4313
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906867
FL
Other
Enumeration date
05/25/2016
Last updated
08/02/2016
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