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ALLEN TONY REISMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3801 S KANNER HWY, STUART, FL 34994-4801
(772) 223-2896
Mailing address
3801 S KANNER HWY, STUART, FL 34994-4801
(216) 444-2200

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35-070883
OH
207Y00000X
Otolaryngology Physician
Primary
ME79843
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000132432
ANTHEM
OH
01
000000206512
UNISON
OH
01
000000506211
ANTHEM
OH
05
2108936
OH
01
363943
WELLCARE
OH
01
5835703
AETNA
OH
01
738088
BUCKEYE
OH
01
P00358773
RAILROAD MEDICARE
OH
Enumeration date
07/20/2006
Last updated
03/18/2026
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