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NPI Code Detail

MEDICARE: REYNALD C ALLAM MD

MEDICARE: REYNALD C ALLAM 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
1207R00000XInternal Medicine PhysicianME68021FL
22083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) PhysicianME68021FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
142522WOTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
342522OTHERFLBCBS

General Provider Information

NPI Number : 1831293141
Entity Type Code : Individual
Provider Name (Legal Business Name) : REYNALD C ALLAM MD
Provider Business Mailing Address
First Line : 1285 CREEKSIDE BLVD E UNIT 104
Second Line :
City : NAPLES
State : FL
Zip : 34109-0595
Country : US
Telephone Number : 239-624-0630
Fax Number : 239-624-0631
Provider Business Practice Location Address
First Line : 1285 CREEKSIDE BLVD E UNIT 104
Second Line :
City : NAPLES
State : FL
Zip : 34109-0595
Country : US
Telephone Number : 239-624-0630
Fax Number : 239-624-0631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2006
Last Update Date : 11/01/2018

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Directions to “ REYNALD C ALLAM MD” Practice Location

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