Provider Demographics
NPI:1043856883
Name:REEDER PLASTIC SURGERY LLC
Entity Type:Organization
Organization Name:REEDER PLASTIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-396-7803
Mailing Address - Street 1:34 BARRACUDA LANE
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037
Mailing Address - Country:US
Mailing Address - Phone:937-602-4953
Mailing Address - Fax:
Practice Address - Street 1:50 BARRACUDA LN
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-3733
Practice Address - Country:US
Practice Address - Phone:305-396-7803
Practice Address - Fax:305-396-7904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty