Reynolds, Alina Victorovna

Reynolds, Alina Victorovna is an individual health care provider with primary practice located at 1900 Don Wickham Dr Mp Sl Admin, Clermont FL 34711-1979. She 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 / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Reynolds, Alina Victorovna can be contacted via phone (352) 536-8840.

Contact Information

Primary practice address
1900 Don Wickham Dr Mp Sl Admin Clermont FL 34711-1979
Phone: (352) 536-8840
Fax: (352) 536-8841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9236675 Florida
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X ARNP9236675 Florida

Profile Details

NPI number 1699064741
LBN Legal business name Reynolds, Alina Victorovna
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Sep 24th, 2018 - about 7 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 1699064741 NPPES
Florida Other ARNP9236675 MEDICAL LICENSE
Florida MEDICAID 008855900 MEDICAL LICENSE

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