Individual
REYNALD JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3041 SW 194TH TER, MIRAMAR, FL 33029-5815
(954) 662-5286
Mailing address
15281 SW 51ST ST, MIRAMAR, FL 33027-3608
(954) 662-5286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9281306
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
9281306
FL
Other
Enumeration date
12/09/2015
Last updated
03/11/2026
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