Individual
DR. JASON ERIC REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
(941) 629-6262
(941) 629-1782
Mailing address
1641 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33948-1042
(941) 629-6262
(941) 629-1782
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
OS9617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41787
BC/BS OF FL
FL
01
—
P00988963
RAILROAD MEDICARE
FL
Enumeration date
05/10/2006
Last updated
09/06/2016
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