Individual
DMITRIY REZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
101 NE 3RD AVE STE 1500, FORT LAUDERDALE, FL 33301-1181
(954) 247-8790
(877) 594-6196
Mailing address
3031 TELEGRAPH AVE, OAKLAND, CA 94609-3205
(510) 596-8125
(510) 225-2745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019136
NY
363A00000X
Physician Assistant
085.002843
IL
363A00000X
Physician Assistant
57357
CA
363A00000X
Physician Assistant
Primary
PA9117176
FL
Other
Enumeration date
10/25/2006
Last updated
07/11/2023
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