Healthcare Provider Details

I. General information

NPI: 1841226115
Provider Name (Legal Business Name): MICHAEL T REILLY MD & DAVID H GILBERT MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 07/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 N DIXIE HWY SUITE 203
OAKLAND PARK FL
33334-3447
US

IV. Provider business mailing address

5301 N DIXIE HWY SUITE 203
OAKLAND PARK FL
33334-3447
US

V. Phone/Fax

Practice location:
  • Phone: 954-771-3334
  • Fax: 954-771-1069
Mailing address:
  • Phone: 954-771-3334
  • Fax: 954-771-1069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME 45905
License Number StateFL

VIII. Authorized Official

Name: MICHAEL T REILLY
Title or Position: OWNER
Credential: M.D.
Phone: 954-771-3334