Doctor Name: | DR. PATRICK T. REYNOLDS |
NPI Number: | 1386632990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME56509 |
Business Practice Address: | 603 N Flamingo Rd Suite 151 Pembroke Pines, FL - 330281023 |
Business Phone Number: | 9542654325 |
Business Fax Number: | 9542760744 |
Mailing Address: | 603 N Flamingo Rd, Suite 151 PEMBROKE PINES |
State: | FL |
Postal Code: | 330281023 |
Phone Number: | 9542654325 |
Fax Number: | 9542760744 |
NPI Enumeration Date: | 10/07/2005 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME56509 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |