Healthcare Provider Details

I. General information

NPI: 1265834113
Provider Name (Legal Business Name): DAVID REICHMANN BC-HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4752 US HIGHWAY 19
NEW PORT RICHEY FL
34652-4944
US

IV. Provider business mailing address

4752 US HIGHWAY 19
NEW PORT RICHEY FL
34652-4944
US

V. Phone/Fax

Practice location:
  • Phone: 727-842-4564
  • Fax: 727-847-2182
Mailing address:
  • Phone: 727-842-4564
  • Fax: 727-847-2182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS4960
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: