Ty Edward Reutebuch in Orlando - Physician Assistant
Ty Edward Reutebuch - NPI 1902002348
Ty Edward Reutebuch is a Physician Assistant in Orlando, Florida. Ty Edward Reutebuch practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ty Edward Reutebuch is 1902002348. The last update date is 2019-02-08.
Ty Edward Reutebuch's current location address is 8824 Abbey Leaf Ln, Orlando, Florida. You can contact this provider via phone number 8285770122. The mailing address for Ty Edward Reutebuch is 8824 Abbey Leaf Ln, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty Edward Reutebuch |
|---|---|
| Address | 8824 Abbey Leaf Ln, Orlando, Florida |
| Phone Number | 8285770122 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1902002348 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2019-02-08 |
Provider Mailing Address Detail
| Address | 8824 Abbey Leaf Ln |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328276902 |
| Phone Number | 8285770122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9111648 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Ty Edward Reutebuch by the Centers for Medicare & Medicaid Services?
The Ty Edward Reutebuch has been issued the NPI (National Provider Identifier) 1902002348, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ty Edward Reutebuch is geographically located?
The Ty Edward Reutebuch is physically situated at the following location: 8824 Abbey Leaf Ln, Orlando, FL, 328276902.
What is Ty Edward Reutebuch's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ty Edward Reutebuch's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Ty Edward Reutebuch receive its 1902002348 assignment?
The Ty Edward Reutebuch was assigned its 1902002348 on 2007-06-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Ty Edward Reutebuch's details last updated?
The information pertaining to the Ty Edward Reutebuch, including its address, specialty, and other details, was most recently updated on 2019-02-08.