Provider Demographics
NPI:1801068366
Name:REED, DAMON R (MD)
Entity type:Individual
Prefix:DR
First Name:DAMON
Middle Name:R
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12902 USF MAGNOLIA DR
Mailing Address - Street 2:FOB 1, SARCOMA PROGRAM
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-9416
Mailing Address - Country:US
Mailing Address - Phone:813-745-3242
Mailing Address - Fax:813-745-8337
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:FOB1 SARCOMA PROGRAM
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-3242
Practice Address - Fax:813-745-8337
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN403052080P0207X
FLME1015962080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002299100Medicaid
FLDZ682ZMedicare PIN