Reynolds, Terry

Reynolds, Terry is an individual health care provider with primary practice located at 3000 Coral Hills Dr Phoenix Emergency Medicine Of Broward, Llc, Coral Springs FL 33065-4108. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Reynolds, Terry can be contacted via phone (954) 344-3000.

Contact Information

Primary practice address
3000 Coral Hills Dr Phoenix Emergency Medicine Of Broward, Llc Coral Springs FL 33065-4108
Phone: (954) 344-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3597 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03520 North Carolina

Profile Details

NPI number 1295724920
LBN Legal business name Reynolds, Terry
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2005
Last updated Jan 3rd, 2013 - about 11 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 1295724920 NPPES
Florida MEDICAID 291118300
Florida Other E3618

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