Provider Demographics
NPI:1932389558
Name:REED, RENE MICHAEL (DC, DABCO, NMD)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:MICHAEL
Last Name:REED
Suffix:
Gender:M
Credentials:DC, DABCO, NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 SUNNYDALE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1203
Mailing Address - Country:US
Mailing Address - Phone:727-492-0700
Mailing Address - Fax:727-446-0128
Practice Address - Street 1:1770 BRAXTON BRAGG LN
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1101
Practice Address - Country:US
Practice Address - Phone:727-492-0700
Practice Address - Fax:727-446-0128
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7053111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic