Provider Demographics
NPI:1043029432
Name:REUNION HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:REUNION HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-725-8258
Mailing Address - Street 1:305 HARDWOOD PT
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8349
Mailing Address - Country:US
Mailing Address - Phone:305-725-8258
Mailing Address - Fax:561-408-4165
Practice Address - Street 1:305 HARDWOOD PT
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8349
Practice Address - Country:US
Practice Address - Phone:305-725-8258
Practice Address - Fax:561-408-4165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care