Gregg T Reese Dc Pa | |
3260 Stirling Rd, Hollywood, FL 33021-2041 | |
(954) 989-4738 | |
(954) 989-7600 |
Full Name | Gregg T Reese Dc Pa |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 3260 Stirling Rd, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174739106 | NPI | - | NPPES |
381077100 | Medicaid | FL | |
55533 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH0007234 (Florida) | Primary |
Provider Name | Gregg Tyler Reese |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992787162 PECOS PAC ID: 1951585678 Enrollment ID: I20110421000880 |
Mailing Address | Practice Location Address |
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Gregg T Reese Dc Pa 3260 Stirling Rd, Hollywood, FL 33021-2041 Ph: (954) 989-4738 | Gregg T Reese Dc Pa 3260 Stirling Rd, Hollywood, FL 33021-2041 Ph: (954) 989-4738 |
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