Organization
REZA YASREBI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA YASREBI MD (MD/PRESIDENT)
(352) 867-8898
Entity
Organization
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 380, OCALA, FL 34478-0380
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME0023965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16877
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/21/2006
Last updated
08/22/2020
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