Individual
JENNIFER A REICHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 016960 M851, MIAMI, FL 33136-1005
(305) 243-6275
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 016960 M851, MIAMI, FL 33136-1005
(305) 243-6275
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP9218882
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9218882
FL
Other
Enumeration date
08/16/2007
Last updated
09/26/2013
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