Provider Demographics
NPI:1174827828
Name:REED, MARC T (RN)
Entity type:Individual
Prefix:MR
First Name:MARC
Middle Name:T
Last Name:REED
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7137 HOLLOWELL DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-1090
Mailing Address - Country:US
Mailing Address - Phone:813-885-1389
Mailing Address - Fax:
Practice Address - Street 1:7137 HOLLOWELL DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-1090
Practice Address - Country:US
Practice Address - Phone:813-885-1389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2971142163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management