Active NPI
Robert Reid Jr MD PA
- Pediatric Infectious Diseases Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- ME0074878
- Legal business name
- ROBERT REID JR MD PA
- Practice address
- 1131 N 35TH Ave Ste 310
Hollywood, FL 33021-5403 - Phone
- (954) 989-5010
- Fax
- (954) 989-6430
- NPI assigned
- May 21, 2008
- Last updated
- Oct 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Reid Jr., MD
- Title
- Owner
- Phone
- (954) 989-5010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | ME0074878 | FL | Primary |
Addresses
Primary practice location
1131 N 35TH Ave Ste 310
Hollywood, FL 33021-5403
Mailing address
PO Box 440602
Miami, FL 33144-0602
Phone (786) 275-8404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253949700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1150 N 35th Ave
Ste 499
Hollywood, FL 33021
Phone 7862758404206
3427 Johnson St
Hollywood, FL 33021
Phone (954) 986-6332
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Infectious Diseases Physician
- Hollywood, FL
- NPI 1588720924
-
- Pediatric Infectious Diseases Physician
- Hollywood, FL
- NPI 1831261262
-
- Pediatric Infectious Diseases Physician
- Coral Gables, FL
- NPI 1710047121
-
- Pediatric Nurse Practitioner
- Hollywood, FL
- NPI 1174930861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508803200000",
"number": "1407013931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440602",
"city": "MIAMI",
"state": "FL",
"postal_code": "331440602",
"telephone_number": "786-275-8404",
"fax_number": "786-275-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 N 35TH AVE STE 310",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215403",
"telephone_number": "954-989-5010",
"fax_number": "954-989-6430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT REID JR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2017-10-24",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-989-5010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "FL",
"license": "ME0074878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253949700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.