Healthcare Provider Details

I. General information

NPI: 1447783436
Provider Name (Legal Business Name): AUSTIN REED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SW ARCHER RD
GAINESVILLE FL
32608-1134
US

IV. Provider business mailing address

1329 SW 16TH ST PO BOX 100186
GAINESVILLE FL
32610-0175
US

V. Phone/Fax

Practice location:
  • Phone: 352-733-0800
  • Fax:
Mailing address:
  • Phone: 352-733-1471
  • Fax: 352-265-5606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME144826
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: