Healthcare Provider Details

I. General information

NPI: 1700400280
Provider Name (Legal Business Name): RELIABLE MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 FRUITVILLE RD STE 140
SARASOTA FL
34237-5301
US

IV. Provider business mailing address

448 BEULAH ST
WHITMAN MA
02382-1210
US

V. Phone/Fax

Practice location:
  • Phone: 727-203-4613
  • Fax: 727-290-4383
Mailing address:
  • Phone: 727-203-4613
  • Fax: 727-290-4383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROB DURANTE
Title or Position: PRESIDENT
Credential:
Phone: 781-252-9900