Healthcare Provider Details

I. General information

NPI: 1467556795
Provider Name (Legal Business Name): JAMES N REICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 35TH AVE SUITE 620
HOLLYWOOD FL
33021-5424
US

IV. Provider business mailing address

1150 N 35TH AVE SUITE 620
HOLLYWOOD FL
33021-5424
US

V. Phone/Fax

Practice location:
  • Phone: 954-989-9553
  • Fax: 954-989-9607
Mailing address:
  • Phone: 954-989-9553
  • Fax: 954-989-9607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number82676
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: