Provider Demographics
NPI:1437143146
Name:REINHARTZ, HAROLD ROBERT (DPM)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ROBERT
Last Name:REINHARTZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2980 AVENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3103
Mailing Address - Country:US
Mailing Address - Phone:305-932-0922
Mailing Address - Fax:305-932-0923
Practice Address - Street 1:2980 AVENTURA BLVD
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3103
Practice Address - Country:US
Practice Address - Phone:305-932-0922
Practice Address - Fax:305-932-0923
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 0000442213E00000X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87178OtherBCBS
FL4935930001Medicare NSC
FLT55357Medicare UPIN