MEDICARE: DR. MERRILL WAYNE REUTER MD, PHD

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	174400000X	Specialist	ME0054695	FL
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME0054695	FL
3	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	ME0054695	FL
4	207X00000X	Orthopaedic Surgery Physician	ME0054695	FL

General Provider Information

NPI Number	:	1669470795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MERRILL WAYNE REUTER MD, PHD

Provider Business Mailing Address
First Line	:	3500 PRINCETON DRIVE
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-9353
Country	:	US
Telephone Number	:	561-939-6325
Fax Number	:	561-899-0460

Provider Business Practice Location Address
First Line	:	7138 LAKE WORTH RD
Second Line	:	SUITE C
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2970
Country	:	US
Telephone Number	:	561-939-6325
Fax Number	:	561-899-0460

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	01/08/2015

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