MEDICARE: DR. HAROLD ROBERT REINHARTZ D.P.M.

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	213E00000X	Podiatrist	PO 0000442	FL
2	213ES0000X	Sports Medicine Podiatrist	PO 0000442	FL
3	213ES0103X	Foot & Ankle Surgery Podiatrist	PO 0000442	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	87178	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1437143146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD ROBERT REINHARTZ D.P.M.

Provider Business Mailing Address
First Line	:	2980 AVENTURA BLVD
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-3103
Country	:	US
Telephone Number	:	305-932-0922
Fax Number	:	305-932-0923

Provider Business Practice Location Address
First Line	:	2980 AVENTURA BLVD
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-3103
Country	:	US
Telephone Number	:	305-932-0922
Fax Number	:	305-932-0923

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	03/28/2008

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