Individual
PETER REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
7500 SW 59TH PL APT 110, SOUTH MIAMI, FL 33143-5133
(718) 349-3674
Mailing address
7500 SW 59TH PL APT 110, SOUTH MIAMI, FL 33143-5133
(718) 349-3674
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5329
FL
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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