Individual
MR. DOUGLAS RE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6001 WEBB RD, EMERGENCY DEPARTMENT, TAMPA, FL 33615-3241
(813) 888-7060
Mailing address
861 SW 78TH AVE, SUITE #100B, PLANTATION, FL 33324-3229
(954) 693-0000
(954) 693-0005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292115400
—
FL
Enumeration date
06/18/2006
Last updated
05/07/2025
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