MEDICARE: DR. MARK A REINER MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ME37159	FL

General Provider Information

NPI Number	:	1710971601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK A REINER MD

Provider Business Mailing Address
First Line	:	5778 NW 127TH TER
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-3477
Country	:	US
Telephone Number	:	954-648-7508
Fax Number	:

Provider Business Practice Location Address
First Line	:	5778 NW 127TH TER
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-3477
Country	:	US
Telephone Number	:	954-648-7508
Fax Number	:

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	06/19/2019

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