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NPI Code Detail

MEDICARE: ELIDIA REEVES

MEDICARE: ELIDIA REEVES
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
1225XP0200XPediatric Occupational TherapistOT12173FL

General Provider Information

NPI Number : 1730209503
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIDIA REEVES
Provider Business Mailing Address
First Line : 8461 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33183-4074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9425 SW 72ND ST
Second Line : SUITE 261
City : MIAMI
State : FL
Zip : 33173-3251
Country : US
Telephone Number : 305-271-7343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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Directions to “ ELIDIA REEVES ” Practice Location

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