Steven Reyes, PA
Physician Assistant, Medical in St Petersburg, FL. Individual provider (NPI-1).
NPI number1144429366
StatusActive
Last updated in NPPESDec 30, 2016
Details
- NPI
- 1144429366
- Entity type
- Individual (NPI-1)
- Name
- Steven Reyes
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2007
- Last updated
- Dec 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9106105 | FL | Yes |
| 363A00000X | Physician Assistant | PA04024 | TX |
Practice location
1839 Central AveSt Petersburg, FL 33713-8900
Phone 727-322-1054 · Fax 727-821-7213
Mailing address
1839 Central AveSt Petersburg, FL 33713-8900
Phone 727-322-1054 · Fax 727-821-7213
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