Male or Other

Terry Reynolds PA-C

Physician Assistant in Coral Springs, FL(View on Map)

Full Name

Terry Reynolds PA-C

NPI Number

1295724920

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/15/2005

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida
North Carolina

License Number

PA3597
0010-03520

Contact
Information

Purpose

Mailing
Location

Address

5028 NW 123RD AVE
3000 CORAL HILLS DR

City

Coral Springs
Coral Springs

State

FL
FL

Postal Code

33076-3442
33065-4108

Country

US
US

Telephone Number

N/A
(954) 344-3000

Identifiers

Identifier

291118300
E3618

Identifier State

FL
FL

Identifier Issuer

Unknown
MEDICARE CORE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/03/2013

Provider Address

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