Male or Other

Dr. Jordan M. Reid MD

Family Medicine Physician in Fort Myers, FL(View on Map)

Full Name

Dr. Jordan Michael Reid MD

NPI Number

1396306320

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/20/2019

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME152603

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2147
2780 CLEVELAND AVE STE 709

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33902-2147
33901-5857

Country

US
US

Telephone Number

(239) 343-3831
(239) 343-2551

Identifiers

Identifier

112155200

Identifier State

FL

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jreid301371@Direct.leememorial.org

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

Y

Endpoint Location

Lee Memorial Health System2776 Cleveland AveFort Myers, FL339015864US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/31/2022

Provider Address

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