Individual
MRS. SVETLANA REYBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
5258 LINTON BLVD STE 306, DELRAY BEACH, FL 33484-6530
(561) 498-2911
Mailing address
7318 PANACHE WAY, BOCA RATON, FL 33433-6921
(561) 361-9420
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-3743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39811A
GROUP NUMBER
FL
Enumeration date
02/13/2007
Last updated
07/08/2007
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