Individual
REYNALDO PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12078 SAN JOSE BLVD STE 2, JACKSONVILLE, FL 32223-8671
(904) 647-9199
(904) 647-9198
Mailing address
12078 SAN JOSE BLVD STE 2, JACKSONVILLE, FL 32223-8671
(904) 647-9199
(904) 647-9198
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME103267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00200007388
UNITED HEALTHCARE
FL
01
—
149UW
BCBS
FL
01
—
272694309
WORKERS COMPENSATION
FL
01
—
3193466
CIGNA
FL
01
—
342136
AVMED
FL
Enumeration date
03/27/2007
Last updated
05/25/2019
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