Healthcare Provider Details

I. General information

NPI: 1477465458
Provider Name (Legal Business Name): TOMAR REISLER MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
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

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

V. Phone/Fax

Practice location:
  • Phone: 786-565-2466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TOMAR REISLER
Title or Position: MANAGER
Credential: MD
Phone: 786-565-2466