Reese, Randall E
Reese, Randall E is an individual health care provider with primary practice located at 1368 Country Club Rd , Gulf Breeze FL 32563-3471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reese, Randall E can be contacted via phone (850) 934-9876.Contact Information
Primary practice address
1368 Country Club Rd
Gulf Breeze FL 32563-3471
Phone: (850) 934-9876
Fax: (850) 916-0736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME74566 | Florida |
Profile Details
| NPI number | 1285718676 |
|---|---|
| LBN Legal business name | Reese, Randall E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Sep 12th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285718676 | NPPES |
| Florida | MEDICAID | 256964700 |
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