Healthcare Provider Details

I. General information

NPI: 1144815408
Provider Name (Legal Business Name): JOSEPHINE SALUBRE DELOS REYES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2021
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4638 SUN N LAKE BLVD
SEBRING FL
33872-2176
US

IV. Provider business mailing address

4625 SUN N LAKE BLVD STE 105
SEBRING FL
33872-2176
US

V. Phone/Fax

Practice location:
  • Phone: 863-386-0055
  • Fax: 863-386-0118
Mailing address:
  • Phone: 863-314-4466
  • Fax: 863-386-0118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11009656
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME171694
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: