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NPI Code Detail

MEDICARE: KRISTINA LIZETTE REEVES PA-C

MEDICARE: KRISTINA LIZETTE REEVES PA-C
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
1363A00000XPhysician AssistantPA9104215FL

General Provider Information

NPI Number : 1124210265
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA LIZETTE REEVES PA-C
Provider Business Mailing Address
First Line : 6018 CATLIN DR
Second Line :
City : TAMPA
State : FL
Zip : 33647-2610
Country : US
Telephone Number : 813-857-8974
Fax Number :
Provider Business Practice Location Address
First Line : 13000 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-4745
Country : US
Telephone Number : 813-857-8974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 05/11/2026

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Directions to “ KRISTINA LIZETTE REEVES PA-C” 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.

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