Provider Demographics
NPI:1881687796
Name:REICHMAN, HELENA (MD)
Entity Type:Individual
Prefix:MS
First Name:HELENA
Middle Name:
Last Name:REICHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:4321 N MACDILL AVE
Practice Address - Street 2:SUITE # 305
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6388
Practice Address - Country:US
Practice Address - Phone:813-877-1502
Practice Address - Fax:813-872-7055
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2023-06-23
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-06
Provider Licenses
StateLicense IDTaxonomies
FLME0058769174400000X
FLME58769207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052652500Medicaid
FL052652500Medicaid
FLA57810Medicare UPIN