Basic Information
| Provider Information | |||||||||
| NPI: | 1922338094 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REIF INDUSTRIES PL | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 357215 | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326357215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8886891430 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6500 W NEWBERRY RD | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326054309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523334900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2010 | ||||||||
| LastUpdateDate: | 06/04/2010 | ||||||||
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| AuthorizedOfficialLastName: | REIF | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8886891430 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 05760 | 01 | FL | BCBS | OTHER |