Individual
KARL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1859 ENTERPRISE AVE, ST AUGUSTINE, FL 32092-2421
(732) 485-4207
Mailing address
1859 ENTERPRISE AVE, ST AUGUSTINE, FL 32092-2421
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9518546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9518546
RN LICENSE NUMBER
FL
Enumeration date
01/06/2021
Last updated
01/06/2021
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