MEDICARE: DR. REINALDO CLAUDIO D.M.D., M.D.

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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	15004	FL

General Provider Information

NPI Number	:	1174717680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REINALDO CLAUDIO D.M.D., M.D.

Provider Business Mailing Address
First Line	:	2720 PARK DR
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33763-1020
Country	:	US
Telephone Number	:	727-726-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 PARK DR
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33763-1020
Country	:	US
Telephone Number	:	727-726-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	12/13/2007

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