Reynolds, Mary K

Reynolds, Mary K is an individual health care provider with primary practice located at 1180 W Granada Blvd Suite B, Ormond Beach FL 32174-8165. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reynolds, Mary K can be contacted via phone (386) 677-2606.

Contact Information

Primary practice address
1180 W Granada Blvd Suite B Ormond Beach FL 32174-8165
Phone: (386) 677-2606
Fax: (386) 672-5341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3269632 Florida

Profile Details

NPI number 1194962241
LBN Legal business name Reynolds, Mary K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2009
Last updated Jan 12th, 2009 - about 16 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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