Provider Demographics
NPI:1881704492
Name:REID, VIRGIL CAYTON III (MD)
Entity type:Individual
Prefix:DR
First Name:VIRGIL
Middle Name:CAYTON
Last Name:REID
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:736 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4042
Mailing Address - Country:US
Mailing Address - Phone:941-953-4060
Mailing Address - Fax:407-477-4066
Practice Address - Street 1:736 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4042
Practice Address - Country:US
Practice Address - Phone:941-953-4060
Practice Address - Fax:407-477-4066
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128995207V00000X
IL036102311207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology