Reginald Vincent Graham

Case Manager/Care Coordinator · Davenport, FL

Individual Active NPI

NPI number 1174303945

Practice location

1020 Theodore St
Davenport, FL 33837-7731
Phone
(407) 922-1307

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NPI record

NPI
1174303945
Entity type
Individual (Type 1)
Enumeration date
September 29, 2023
Last updated
September 29, 2023
Certified
September 28, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Reginald Graham

Reginald Vincent Graham is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1020 Theodore St, Davenport, FL 33837-7731. The NPI number 1174303945 was assigned on September 29, 2023 and the record was last updated on September 29, 2023.

Frequently asked questions

What is the NPI number of Reginald Vincent Graham?

The NPI number is 1174303945.

What is the phone number of Reginald Graham?

The phone number listed for the practice location is (407) 922-1307.

Where is Reginald Graham located?

1020 Theodore St, Davenport, FL 33837-7731.

What is the taxonomy code for Reginald Graham?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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