MEDICARE: DR. STEVEN REICHBACH 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	207L00000X	Anesthesiology Physician	M119100	FL

General Provider Information

NPI Number	:	1477559110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN REICHBACH M.D.

Provider Business Mailing Address
First Line	:	2415 UNIVERSITY PKWY STE 215
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2809
Country	:	US
Telephone Number	:	941-213-4444
Fax Number	:	941-213-4440

Provider Business Practice Location Address
First Line	:	2415 UNIVERSITY PKWY STE 215
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243
Country	:	US
Telephone Number	:	941-213-4444
Fax Number	:	941-213-4440

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	09/09/2019

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