Individual
SHANEKA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE RM 316E, MIAMI, FL 33136-1005
(305) 585-5578
Mailing address
11031 REDHAWK ST, PLANTATION, FL 33324-2167
(786) 356-1457
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11012659
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11012659
FL
Other
Enumeration date
04/10/2023
Last updated
05/24/2023
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