Provider Demographics
NPI:1851400048
Name:DR KAREN REESE
Entity Type:Organization
Organization Name:DR KAREN REESE
Other - Org Name:THE JOINT SPINAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-821-7400
Mailing Address - Street 1:735 ARLINGTON AVE N STE 203
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3654
Mailing Address - Country:US
Mailing Address - Phone:727-821-7400
Mailing Address - Fax:727-821-5981
Practice Address - Street 1:735 ARLINGTON AVE N STE 203
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3654
Practice Address - Country:US
Practice Address - Phone:727-821-7400
Practice Address - Fax:727-821-5981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLUO435AMedicaid
FLU0435AMedicare ID - Type Unspecified