Healthcare Provider Details

I. General information

NPI: 1306727516
Provider Name (Legal Business Name): IREGMED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6262 SUNSET DR STE 402
SOUTH MIAMI FL
33143-4843
US

IV. Provider business mailing address

3480 MAIN HWY STE 404
MIAMI FL
33133-5937
US

V. Phone/Fax

Practice location:
  • Phone: 305-395-3063
  • Fax: 305-395-3206
Mailing address:
  • Phone: 305-395-3063
  • Fax: 305-395-3206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY REED NEUIL
Title or Position: VP OF MEDICAL AFFAIRS
Credential: ND
Phone: 800-994-1401