MEDICARE: CHRISTOPHER D REINER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME32974	FL

General Provider Information

NPI Number	:	1407872336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER D REINER MD

Provider Business Mailing Address
First Line	:	PO BOX 25437
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33622
Country	:	US
Telephone Number	:	813-854-2003
Fax Number	:	813-855-3765

Provider Business Practice Location Address
First Line	:	2803 W ST ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607
Country	:	US
Telephone Number	:	813-875-3896
Fax Number	:	813-872-6834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

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