Provider Demographics
NPI:1457459323
Name:GS REED AGENCY INC
Entity type:Organization
Organization Name:GS REED AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:SASNETT
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA,ARNP
Authorized Official - Phone:352-427-0794
Mailing Address - Street 1:1132 COUNTY ROAD, HWY 475, STE 100
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34744
Mailing Address - Country:US
Mailing Address - Phone:352-427-0794
Mailing Address - Fax:
Practice Address - Street 1:1132 COUNTY ROAD, HWY 475, STE 100
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:FL
Practice Address - Zip Code:34744
Practice Address - Country:US
Practice Address - Phone:352-427-0794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP679242367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG9041OtherBLUE CROSS BLUE SHIELD
FL306879000Medicaid
FLG9041OtherBLUE CROSS BLUE SHIELD