REEDER MEDICAL GROUP (NPI# 1154626778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154626778 |
| Entity Type | Organization |
| Organization Name | REEDER MEDICAL GROUP |
| Practice Address |
1400 S Andrews Ave Fort Lauderdale FL 33316-1840 |
| Mailing Address |
1400 South Andrews Avenue Fort Lauderdale FL 33316 |
| Practice Telephone | 9547648911 |
| Mailing Telephone | 9547648911 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |
| Authorized Official Name | DR. ROBERT L REEDER (OWNER) |
| Authorized Official Telephone | 9547648911 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL PRACTICE | 1 | 01 |
| Street Address |
1400 S ANDREWS AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285784843 | Christine Doole | Chiropractor | 1400 S Andrews Ave, Fort Lauderdale, FL 33316-1840 | 2007-01-12 |
| 1174918403 | Fernique Jean-jacques | Nurse Practitioner | 1400 S Andrews Ave, Fort Lauderdale, FL 33316-1840 | 2015-04-02 |
| 1164798245 | Reeder Medical Group LLC | Internal Medicine | 1400 S Andrews Ave, Fort Lauderdale, FL 33316-1840 | 2012-03-22 |
| 1346400231 | Ihosvani Miguel | Internal Medicine | 1400 S Andrews Ave, Fort Lauderdale, FL 33316-1840 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1770125551 | Nasir Nabial | Emergency Medical Technician, Intermediate | 1885 Via Lago Dr, Lakeland, FL 33810-2418 | 2019-10-13 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1003925728 | Kiely, Jeremiah, & Barberis, Pa | Emergency Medical Technician, Intermediate | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2006-08-29 |
| 1386697647 | Intermed Healthcare Centers Inc | Emergency Medical Technician, Intermediate | 11327 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8724 | 2006-05-18 |
| 1891980389 | Palm Bay Urgent Care Pl | Emergency Medical Technician, Intermediate | 1155 Malabar Rd Ne Ste 10, Palm Bay, FL 32907-3262 | 2007-09-08 |
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.