Individual
DR. PATRICK M REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 IMMOKALEE RD STE 101, NAPLES, FL 34110-1422
(239) 514-2225
(239) 514-2280
Mailing address
2180 IMMOKALEE RD STE 101, NAPLES, FL 34110-1422
(239) 514-2225
(239) 514-2280
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME92444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13299
BLUE SHIELD PROVIDER #
FL
05
—
272799400
—
FL
Enumeration date
06/27/2006
Last updated
02/18/2019
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