Individual
MRS. ITZEL SANDOVAL-REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
380 PINE LEAF DR, ST AUGUSTINE, FL 32092-1462
(904) 707-3147
Mailing address
380 PINE LEAF DR, ST AUGUSTINE, FL 32092-1462
(904) 707-3147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115077
FL
363AM0700X
Medical Physician Assistant
PA9115077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112060700
—
FL
Enumeration date
09/17/2021
Last updated
11/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us