Provider Demographics
NPI:1740875566
Name:REID, HANNAH M
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:M
Last Name:REID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:M
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HANNAH REID
Mailing Address - Street 1:1510 ROMALLO LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6933
Mailing Address - Country:US
Mailing Address - Phone:813-863-5183
Mailing Address - Fax:
Practice Address - Street 1:1510 ROMALLO LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6933
Practice Address - Country:US
Practice Address - Phone:813-863-5183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty