Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jared P. Reiss, PA-C

Individual provider Medical Physician Assistant · NPI 1558360206

Mr. Jared P. Reiss, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 1995, 31 years ago. Practices with Florida Veins LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4961 Royal Gulf Cir
Fort Myers, FL 33966-7006
Phone: (239) 687-4015
Fax: (321) 421-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3719 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA3719 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3719 (FL)

Record details

NPI number1558360206
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2005
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Florida Veins Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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