Individual
LATERRANCE REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6858 3RD ST, JUPITER, FL 33458-3878
(561) 758-9305
Mailing address
6858 3RD ST, JUPITER, FL 33458-3878
(561) 758-9305
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
FL
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L18000002750
—
FL
Enumeration date
04/19/2021
Last updated
04/19/2021
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