Individual
REGINALD EXILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4700 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5800
(954) 730-7284
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11002042
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11002042
FL
Other
Enumeration date
05/16/2019
Last updated
01/27/2021
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