# DR. MICHELLE RENEE REILLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275846420
- **Gender:** F
- **Credential:** RN, NP, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | R080304 | MD | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | RN 9303002 | FL | — |

## Other

- **Enumeration date:** 07/16/2010
- **Last updated:** 01/07/2011