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Individual

FRANK FREDERICK REISNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1834 SW 1ST AVE, SUITE 201, OCALA, FL 34471-8100
(352) 732-9888
(352) 732-6293
Mailing address
1834 SW 1ST AVE, SUITE 201, OCALA, FL 34471-8100
(352) 732-9888
(352) 732-6293

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0038249
FL
207Q00000X
Family Medicine Physician
ME0038249
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01302
BLUE CROSS BLUE SHIELD FL
FL
05
066151100
FL
Enumeration date
01/20/2006
Last updated
03/08/2011
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