Provider Demographics
NPI:1356507255
Name:HOPE REID, D.C.,P.A.
Entity Type:Organization
Organization Name:HOPE REID, D.C.,P.A.
Other - Org Name:HOPE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-792-4849
Mailing Address - Street 1:330 S STATE ROAD 7
Mailing Address - Street 2:SUITE 500
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3719
Mailing Address - Country:US
Mailing Address - Phone:954-792-4849
Mailing Address - Fax:
Practice Address - Street 1:330 S STATE ROAD 7
Practice Address - Street 2:SUITE 500
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3719
Practice Address - Country:US
Practice Address - Phone:954-792-4849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8353111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381730000Medicaid
FL70419Medicare PIN
FL491309Medicare UPIN