Individual
KYLE G REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5050 S FLORIDA AVE, LAKELAND, FL 33813-2501
(863) 688-3030
Mailing address
5050 S FLORIDA AVE, LAKELAND, FL 33813-2501
(863) 688-3030
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9114453
FL
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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