MEDICARE: DR. LETICIA B RENO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME46561	FL

General Provider Information

NPI Number	:	1821306317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LETICIA B RENO M.D.

Provider Business Mailing Address
First Line	:	9471 BAYMEADOWS RD STE 405
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7937
Country	:	US
Telephone Number	:	904-475-2039
Fax Number	:	904-330-0668

Provider Business Practice Location Address
First Line	:	3720 BEACH BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-3814
Country	:	US
Telephone Number	:	904-475-2039
Fax Number	:	904-330-0668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	11/08/2018

Similar Medicare Providers

1053357707 — DR. DIANA M CORDERO MD
Practice Location Address:

3720 BEACH BLVD
JACKSONVILLE, FL
32207-3814

Practice Phone: 904-475-2039
Practice Fax: 904-330-0668

1598868069 — ASOK KUMAR ROY MD
Practice Location Address:

3720 BEACH BLVD
JACKSONVILLE, FL
32207-3814

Practice Phone: 904-399-1623
Practice Fax: 904-399-1624

1538485404 — MRS. KEISHA SMITH-READ M.D.
Practice Location Address:

3720 BEACH BLVD
JACKSONVILLE, FL
32207-3814

Practice Phone: 904-399-1623
Practice Fax: 904-399-1624

1649387887 — DR. AMY ANNELLE MCCOY D.O.
Practice Location Address:

630 JACKSONVILLE DR
JACKSONVILLE BEACH, FL
32250-3814

Practice Phone: 904-249-4645
Practice Fax: 904-249-6613

1649272295 — GARY WINFIELD MD
Practice Location Address:

630 JACKSONVILLE DR
JACKSONVILLE BEACH, FL
32250-3814

Practice Phone: 904-421-2119
Practice Fax:

1043205859 — MASONIC CHARITY FOUNDATION OF NEW JERSEY
Practice Location Address:

902 JACKSONVILLE RD
BURLINGTON, NJ
08016-3814

Practice Phone: 609-239-3900
Practice Fax: 609-386-1199

Directions to “ DR. LETICIA B RENO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.