Individual
MR. PAUL D REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1580 WALDO PALMER LN STE 1A, TALLAHASSEE, FL 32308-6049
(850) 942-0096
Mailing address
2858 MAHAN DR, SUITE 1 & 2, TALLAHASSEE, FL 32308-5446
(850) 942-0096
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340286000
—
FL
Enumeration date
12/04/2006
Last updated
05/30/2024
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