Healthcare Provider Details

I. General information

NPI: 1922561877
Provider Name (Legal Business Name): REED YARAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3702 WASHINGTON ST STE 303
HOLLYWOOD FL
33021-8287
US

IV. Provider business mailing address

2900 CORPORATE WAY DOOR D
MIRAMAR FL
33025-3925
US

V. Phone/Fax

Practice location:
  • Phone: 954-518-2424
  • Fax: 954-981-3476
Mailing address:
  • Phone: 954-276-3000
  • Fax: 954-985-7074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS21167
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: