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Contact Information

RICHARD C RENO, MD
990 AIRPORT ROAD
PEDIATRIC DEPARTMENT
DESTIN, FL32541
 Phone: 850-269-6400
 Fax: 850-654-9581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RICHARD C RENO · (Male)

NPI # 1295849438
Status Active
Credentials MD
Entity Individual
Enumeration date 08/17/2006
Last updated 06/20/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME79721
  • FL Medicaid 251905900
  • FL Other 58890 FLORIDA BLUE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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