Individual
MR. PABLO C REYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N US HIGHWAY 441, SUITE 924, THE VILLAGES, FL 32159-8975
(352) 633-8319
(352) 633-8434
Mailing address
PO BOX 102222, ATTN: CREDENTIALING DEPT., ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME80262
FL
207RX0202X
Medical Oncology Physician
Primary
ME80262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262620900
—
FL
01
—
35656
BCBS
FL
Enumeration date
07/10/2006
Last updated
08/19/2022
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