Organization Active NPI

Robert Reid Jr MD PA

  • Pediatric Infectious Diseases Physician
  • Hollywood, FL
National Provider Identifier
1407013931
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
ME0074878 Issued in FL
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Reid Jr., MDNPI 1588720924
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
253949700MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.