Healthcare Provider Details

I. General information

NPI: 1629275102
Provider Name (Legal Business Name): PASQUALE FRANCO REINO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E HIBISCUS BLVD
MELBOURNE FL
32901-3156
US

IV. Provider business mailing address

993 BALMORAL WAY
MELBOURNE FL
32940-2404
US

V. Phone/Fax

Practice location:
  • Phone: 321-361-5550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS13982
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: