Individual
ANDREW WALDORF REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19615 S STATE RD 7, SUITE 32, BOCA RATON, FL 33498
(561) 477-7700
(561) 477-7707
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(561) 477-7700
(561) 477-7707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME82185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261096500
—
FL
Enumeration date
10/14/2005
Last updated
02/19/2014
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