Individual
RYAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2808 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6306
(813) 397-5300
(813) 738-2016
Mailing address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 250-2506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME146121
FL
Other
Enumeration date
05/24/2017
Last updated
01/09/2024
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