Individual
ELIZABETH A REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
431 UNIVERSITY BLVD, JUPITER, FL 33458-3103
(561) 748-2488
(561) 748-2468
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING AND RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 341741
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME34741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039235900
—
FL
01
—
205833
AVMED
FL
01
—
4324842
AETNA
FL
01
—
4692
DIMENSION HEALTH PPO
FL
01
—
6549
WELLCARE
FL
01
—
79501
BCBS
FL
01
—
P01582230
RR MEDICARE
FL
Enumeration date
06/02/2006
Last updated
09/23/2016
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