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Individual

REYNALDO L DESCALSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4143 SUN N LAKE BLVD, SEBRING, FL 33872-2131
(863) 386-6480
(863) 386-6497
Mailing address
4143 SUN N LAKE BLVD, SEBRING, FL 33872-2131
(863) 386-6480
(863) 386-6497

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25032
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037572100
FL
Enumeration date
08/21/2006
Last updated
01/22/2019
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