Healthcare Provider Details

I. General information

NPI: 1932389558
Provider Name (Legal Business Name): RENE MICHAEL REED DC, DABCO, NMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 11/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 BRAXTON BRAGG LN
CLEARWATER FL
33765-1101
US

IV. Provider business mailing address

2160 SUNNYDALE BLVD SUITE A
CLEARWATER FL
33765-1203
US

V. Phone/Fax

Practice location:
  • Phone: 727-492-0700
  • Fax: 727-446-0128
Mailing address:
  • Phone: 727-492-0700
  • Fax: 727-446-0128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH 7053
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: