Healthcare Provider Details

I. General information

NPI: 1710247465
Provider Name (Legal Business Name): DAVID SCOTT REECE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-0374
US

IV. Provider business mailing address

1301 SUNSET DR STE 3
JOHNSON CITY TN
37604-7906
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0438
  • Fax: 352-265-0592
Mailing address:
  • Phone: 423-979-5610
  • Fax: 423-926-1823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number57132
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: