Individual
CHARLES DAVID REAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1874 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034
Mailing address
1874 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP551132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034819800
—
FL
01
—
430032475
RR MEDICARE
FL
01
—
G0673
BCBS OF FLORIDA
FL
Enumeration date
06/02/2006
Last updated
06/08/2011
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