Individual
JEFFERY SCOTT REINERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 N STONE ST, DELAND, FL 32720-3255
(386) 734-1824
(386) 738-7497
Mailing address
809 N STONE ST, DELAND, FL 32720-3255
(386) 734-1824
(386) 738-7497
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057770
ME#
FL
01
—
11390
BLUE CROSS
FL
01
—
4217186
AETNA
FL
01
—
624
FHC
FL
Enumeration date
07/18/2006
Last updated
03/07/2023
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