Individual
LINA MARIA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12550 NEW BRITTANY BLVD STE 100, FORT MYERS, FL 33907-3655
(239) 343-9180
(239) 343-9188
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9180
(239) 343-9188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME 113055
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME 113055
FL
2084P0805X
Geriatric Psychiatry Physician
ME 113055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009555700
—
FL
Enumeration date
08/12/2007
Last updated
09/06/2023
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