Reilly, Michael D

Reilly, Michael D is an individual health care provider with primary practice located at 2500 Citrus Blvd , Leesburg FL 34748-3063. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Reilly, Michael D can be contacted via phone (352) 347-5225.

Contact Information

Primary practice address
2500 Citrus Blvd Leesburg FL 34748-3063
Phone: (352) 347-5225
Fax: (352) 347-1073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3185122 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3185122 Florida

Profile Details

NPI number 1528045168
LBN Legal business name Reilly, Michael D
Credentials DNP, ARNP, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated May 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528045168 NPPES
Florida MEDICAID 000144500

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