Individual
LISA REIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 N OLD KINGS RD, ORMOND BEACH, FL 32174-9505
(386) 673-5969
Mailing address
106 N OLD KINGS RD, ORMOND BEACH, FL 32174-9505
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME33929
FL
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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