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NPI Code Detail

MEDICARE: DAVID C. REESMAN ARNP

MEDICARE: DAVID C. REESMAN ARNP
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
1363LA2200XAdult Health Nurse Practitioner1852182FL
2363LG0600XGerontology Nurse Practitioner1852182FL
3363LP2300XPrimary Care Nurse Practitioner1852182FL
4363LX0106XOccupational Health Nurse Practitioner1852182FL

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 : 1609369164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C. REESMAN ARNP
Provider Business Mailing Address
First Line : 26735 CIGAR LN
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-1520
Country : US
Telephone Number : 813-973-2255
Fax Number :
Provider Business Practice Location Address
First Line : 711 S BELCHER RD
Second Line :
City : CLEARWATER
State : FL
Zip : 33764-6326
Country : US
Telephone Number : 727-314-4848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2018
Last Update Date : 06/10/2018

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