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NPI Code Detail

MEDICARE: VIOLET REID

MEDICARE:   VIOLET  REID
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst12261341FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033621743
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIOLET REID
Provider Business Mailing Address
First Line : 13424 FORT KING RD
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5214
Country : US
Telephone Number : 352-437-3559
Fax Number : 135-260-8901
Provider Business Practice Location Address
First Line : 13424 FORT KING RD
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5214
Country : US
Telephone Number : 352-437-3559
Fax Number : 135-260-8901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2017
Last Update Date : 05/11/2023

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Directions to “ VIOLET REID ” Practice Location

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