Individual
SAMUEL MICHAEL REINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 RODEL CV, LAKE MARY, FL 32746-4859
(407) 302-3130
(407) 302-3132
Mailing address
725 RODEL CV, LAKE MARY, FL 32746-4859
(407) 302-3130
(407) 302-3132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D45316
MD
208000000X
Pediatrics Physician
Primary
ME117512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009606700
—
FL
05
—
593221100
—
MD
01
—
60609101
BLUE CROSS
MD
Enumeration date
06/12/2006
Last updated
01/27/2023
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