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NPI Code Detail

MEDICARE: WILLIAM A REEVES M.D.

MEDICARE: WILLIAM A REEVES 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
1207W00000XOphthalmology PhysicianME48276FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25323054OTHERFLAETNA
373272OTHERFLBCBS FLORIDA
48469216OTHERFLCIGNA
50498083OTHERNYGHI
63740494OTHERFLAETNA

General Provider Information

NPI Number : 1194723742
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM A REEVES M.D.
Provider Business Mailing Address
First Line : 403 VONDERBURG DR
Second Line : STE 101
City : BRANDON
State : FL
Zip : 33511-5982
Country : US
Telephone Number : 813-681-1122
Fax Number : 813-684-4924
Provider Business Practice Location Address
First Line : 403 VONDERBURG DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5982
Country : US
Telephone Number : 813-681-1122
Fax Number : 813-684-4924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 05/18/2020

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Directions to “ WILLIAM A REEVES M.D.” Practice Location

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