Active NPI
Racquille Abigail Reid, MBBS, BMSC
- Internal Medicine Physician
- Mangonia Park, FL
National Provider Identifier
1780388595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME180842
- Practice address
- 901 45TH St
Mangonia Park, FL 33407-2413 - Phone
- (561) 844-6300
- Fax
- (561) 882-6124
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME180842 | FL | Primary |
Addresses
Primary practice location
901 45TH St
Mangonia Park, FL 33407-2413
Mailing address
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4668
Phone (954) 938-3359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230519002991 | FL | Order and Referring Only - Internal Medicine | 4880050640 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1643 NW 136 Ave
Sunrise, FL 33323-2857
2400 NE 65TH St
Apt 729
Fort Lauderdale, FL 33308-1575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1780388595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084668",
"telephone_number": "954-938-3359",
"fax_number": "954-492-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 45TH ST",
"city": "MANGONIA PARK",
"state": "FL",
"postal_code": "334072413",
"telephone_number": "561-844-6300",
"fax_number": "561-882-6124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "RACQUILLE",
"middle_name": "ABIGAIL",
"name_prefix": "Dr.",
"credential": "MBBS, BMSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME180842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mangonia Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.