Individual
FRED W REINEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
PO BOX 890, BLUEFIELD, WV 24701-0890
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0045335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256866700
—
FL
01
—
96683
BCBS OF FLORIDA
FL
Enumeration date
09/22/2006
Last updated
05/12/2014
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