| Organization Name: | REBECCA REYNOLDS ARNP |
| NPI Number: | 1023361441 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA REYNOLDS (OWNER) |
| Mailing Address: | 9035 Park Blvd Seminole |
| State: | FL US |
| Postal Code: | 337774130 |
| Phone Number: | 7272445086 |
| Fax Number: | 8774222920 |
| NPI Enumeration Date: | 10/23/2012 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP2736202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |