Individual
ANDREW M REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
820 PRUDENTIAL DR STE 713, JACKSONVILLE, FL 32207-8209
(904) 396-5682
Mailing address
2773 OCEAN OAKS DR, FERNANDINA BEACH, FL 32034-4822
(513) 292-1198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS10529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528946
ANTHEM
OH
05
—
2769455
—
OH
Enumeration date
05/09/2007
Last updated
09/12/2011
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