Individual
JONATHAN REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
3672 SW 26TH ST, MIAMI, FL 33133-2011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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