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Organization

RICARDO R REYES MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO R REYES MD (PRESIDENT)
(954) 772-3544
Entity
Organization

Contact information

Practice address
5333 N DIXIE HWY, SUITE 205, OAKLAND PARK, FL 33334-3454
(954) 772-3544
(954) 772-3545
Mailing address
5333 N DIXIE HWY, SUITE 205, OAKLAND PARK, FL 33334-3454
(954) 772-3544
(954) 772-3545

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME54512
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049011301
FL
Enumeration date
03/13/2007
Last updated
11/18/2015
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