Individual
CATHERINE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7051 DR PHILLIPS BLVD, ORLANDO, FL 32819
(407) 345-9929
(407) 447-8969
Mailing address
7051 DR PHILLIPS BLVD SUITE 7, ORLANDO, FL 32819
(407) 345-9929
(407) 447-8969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11002436
FL
363LP0200X
Pediatric Nurse Practitioner
11002436
FL
Other
Enumeration date
06/06/2019
Last updated
12/30/2024
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