Individual
DR. REGINALD L. TALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-2801
Mailing address
1285 ORANGE AVE, WINTER PARK, FL 32789-4949
(407) 647-2287
(407) 643-2801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME0058351
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME58351
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME0058351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063972900
—
FL
01
—
10635
BC/BS
FL
01
—
200014794
RAILROAD
FL
Enumeration date
07/18/2005
Last updated
11/24/2020
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