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)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