Individual
DR. JOSE A REILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 VALENTINE ST, MELBOURNE, FL 32901-3127
(321) 956-2986
(321) 956-9430
Mailing address
1335 VALENTINE ST, MELBOURNE, FL 32901-3127
(321) 956-2986
(321) 956-9430
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
207ZP0101X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09827
FLORIDA BLUE
FL
01
—
P01043316
RR MEDICARE
FL
Enumeration date
09/27/2006
Last updated
07/13/2012
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