Healthcare Provider Details

I. General information

NPI: 1891051587
Provider Name (Legal Business Name): REACH ORTHOPAEDICS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 BRYAN DAIRY RD 300
LARGO FL
33777-1353
US

IV. Provider business mailing address

8250 BRYAN DAIRY RD 300
LARGO FL
33777-1353
US

V. Phone/Fax

Practice location:
  • Phone: 727-826-0989
  • Fax:
Mailing address:
  • Phone: 727-826-0989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CRAIG NEWLAND
Title or Position: OWNER
Credential:
Phone: 727-826-0989