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Individual

HENRY M REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.P.A

Contact information

Practice address
5801 BIRD RD, SUITE E, MIAMI, FL 33155-5383
(305) 662-2071
(305) 662-9587
Mailing address
5801 BIRD RD, SUITE E, MIAMI, FL 33155-5383
(305) 662-2071
(305) 662-9587

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006195
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194712463
P10
FL
01
22452
BLUE CROSS BLUE SHEILD
FL
05
381956600
FL
Enumeration date
10/03/2005
Last updated
08/18/2015
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