Individual
ASHLEY NICHOLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2040 TAMIAMI TRL, SUITE C, PORT CHARLOTTE, FL 33948-2178
(941) 629-4464
(941) 629-4701
Mailing address
2040 TAMIAMI TRL, SUITE C, PORT CHARLOTTE, FL 33948-2178
(941) 629-4464
(941) 629-4701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT9106772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007956400
—
FL
Enumeration date
09/13/2012
Last updated
05/13/2014
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