Healthcare Provider Details

I. General information

NPI: 1326203852
Provider Name (Legal Business Name): TOMAR REISLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: TOM REISLER M.D

II. Dates (important events)

Enumeration Date: 07/24/2008
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 NE 214TH ST STE 910
AVENTURA FL
33180-1270
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 786-565-2466
  • Fax: 954-957-1808
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD495190
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME148183
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: