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NPI Code Detail

MEDICARE: HORACIO REINOSO M.D.

MEDICARE: HORACIO REINOSO M.D.
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
1207P00000XEmergency Medicine PhysicianME82989FL

General Provider Information

NPI Number : 1740277300
Entity Type Code : Individual
Provider Name (Legal Business Name) : HORACIO REINOSO M.D.
Provider Business Mailing Address
First Line : 366 W KEY LIME SQ SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32968-3824
Country : US
Telephone Number : 772-299-3975
Fax Number : 772-299-3975
Provider Business Practice Location Address
First Line : 1796 HIGHWAY 441 N
Second Line :
City : OKEECHOBEE
State : FL
Zip : 34972-1918
Country : US
Telephone Number : 772-232-9032
Fax Number : 772-232-9383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 07/08/2007

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Directions to “ HORACIO REINOSO M.D.” Practice Location

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