Provider Demographics
NPI:1619343258
Name:REA, JOSEPH FEDERICO (MS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FEDERICO
Last Name:REA
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 HORSESHOE DR S
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-6125
Mailing Address - Country:US
Mailing Address - Phone:239-263-4016
Mailing Address - Fax:239-352-5026
Practice Address - Street 1:2806 HORSESHOE DR S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-6125
Practice Address - Country:US
Practice Address - Phone:239-263-4016
Practice Address - Fax:239-352-5026
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator