Organization
MAGNOLIA GYNECOLOGY, LLC
Active
Other names
Magnolia Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA R. REYES DO (PHYSICIAN OWNER)
(813) 773-6627
Entity
Organization
Contact information
Practice address
3216 W AZEELE ST STE 2, TAMPA, FL 33609-3018
(813) 773-6627
(813) 443-6001
Mailing address
3216 W AZEELE ST STE 2, TAMPA, FL 33609-3151
(813) 773-6627
(813) 443-6001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
09/05/2024
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