Individual
SUSAN REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14472 FORT MYERS AVE, PORT CHARLOTTE, FL 33981-4500
(215) 584-8413
Mailing address
14472 FORT MYERS AVE, PORT CHARLOTTE, FL 33981-4500
(215) 584-8413
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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