MEDICARE: HEIDI LYNN REINHARD 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
1	207ZF0201X	Forensic Pathology Physician	ME153177	FL

General Provider Information

NPI Number	:	1932596996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI LYNN REINHARD M.D.

Provider Business Mailing Address
First Line	:	1260 NORTHLAKE BLVD # 1045
Second Line	:
City	:	LAKE PARK
State	:	FL
Zip	:	33403-2050
Country	:	US
Telephone Number	:	717-982-7797
Fax Number	:

Provider Business Practice Location Address
First Line	:	3126 GUN CLUB RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-3005
Country	:	US
Telephone Number	:	561-688-4575
Fax Number	:

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

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	12/12/2023

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