Individual
REYNALD C ALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1285 CREEKSIDE BLVD E UNIT 104, NAPLES, FL 34109-0595
(239) 624-0630
(239) 624-0631
Mailing address
1285 CREEKSIDE BLVD E UNIT 104, NAPLES, FL 34109-0595
(239) 624-0630
(239) 624-0631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME68021
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ME68021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023226000
—
FL
01
—
42522
BCBS
FL
01
—
42522W
MEDICARE
FL
Enumeration date
09/08/2006
Last updated
11/01/2018
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