Healthcare Provider Details

I. General information

NPI: 1245346071
Provider Name (Legal Business Name): DONALD W REIMER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 10/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 N 12TH AVE
ARCADIA FL
34266-8752
US

IV. Provider business mailing address

PO BOX 997
PALMETTO FL
34220-0997
US

V. Phone/Fax

Practice location:
  • Phone: 941-776-4000
  • Fax: 941-776-4013
Mailing address:
  • Phone: 941-776-4000
  • Fax: 941-776-4013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3805
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: