Basic Information
| Provider Information | |||||||||
| NPI: | 1114902574 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | REIF | ||||||||
| FirstName: | ALMA | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12200 CORTEZ BLVD | ||||||||
| Address2: | #101 | ||||||||
| City: | BROOKSVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346132630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3525964562 | ||||||||
| FaxNumber: | 3525968188 | ||||||||
| Practice Location | |||||||||
| Address1: | 14690 SPRING HILL DR | ||||||||
| Address2: | #201 | ||||||||
| City: | SPRING HILL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346098102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523974481 | ||||||||
| FaxNumber: | 3527992215 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2005 | ||||||||
| LastUpdateDate: | 05/02/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | ARNP 1998222 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 302622100 | 05 | FL | MEDICAID |