Organization
LAWRENCE J. REIS, D.C.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J. REIS D.C.,P.A. (OWNER)
(407) 847-2898
Entity
Organization
Contact information
Practice address
1621 E VINE ST, KISSIMMEE, FL 34744-3730
(407) 847-2898
(321) 442-1099
Mailing address
1621 E VINE ST, KISSIMMEE, FL 34744-3730
(407) 847-2898
(321) 442-1099
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
CH0001632
FL
305R00000X
Preferred Provider Organization
Primary
CH0001632
FL
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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