Individual
MR. DAVE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 AVENUE F NE STE 9118, WINTER HAVEN, FL 33881-4131
(863) 297-1777
(863) 297-1756
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002813900
—
FL
Enumeration date
09/29/2010
Last updated
04/13/2023
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