Individual
DOMENICK J REINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4620 N HABANA AVE, STE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Mailing address
4620 N. HABANA AVE., SUITE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME 55628
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME 55628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059975100
—
FL
Enumeration date
07/27/2006
Last updated
01/15/2014
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