Individual
DR. JUSTIN CHARLES REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 BAYOU BLVD STE 6, PENSACOLA, FL 32503-1901
(850) 477-9253
(850) 494-9843
Mailing address
4700 BAYOU BLVD STE 6, PENSACOLA, FL 32503-1901
(850) 477-9253
(850) 494-9843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25967
NE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25967
NE
207RP1001X
Pulmonary Disease Physician
Primary
25967
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2009
Last updated
10/11/2022
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