Individual
OLIVER REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1205 MARION AVE, TALLAHASSEE, FL 32303-6513
(850) 681-3887
Mailing address
PO BOX 12427, TALLAHASSEE, FL 32317-2427
(850) 297-0114
(850) 297-0314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS14712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021075500
—
FL
Enumeration date
04/15/2014
Last updated
07/21/2022
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