MEDICARE: MRS. ELIZABETH REYNOLDS

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	363L00000X	Nurse Practitioner	ARNP9280397	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174910970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH REYNOLDS

Provider Business Mailing Address
First Line	:	1603 SW THELMA STREET
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990
Country	:	US
Telephone Number	:	772-201-5463
Fax Number	:

Provider Business Practice Location Address
First Line	:	1603 SW THELMA STREET
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990
Country	:	US
Telephone Number	:	772-201-5463
Fax Number	:

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

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	07/20/2015

Similar Medicare Providers

1861729824 — VALERIE BROWN FERRARA APRN
Practice Location Address:

4189 SW HIGH MEADOWS AVE
PALM CITY, FL
34990-3725

Practice Phone: 772-254-4347
Practice Fax: 772-212-8462

1730963745 — NEW DAY PSYCHIATRY LLC
Practice Location Address:

4189 SW HIGH MEADOWS AVE
PALM CITY, FL
34990-3725

Practice Phone: 772-254-4347
Practice Fax: 772-212-8462

1215398458 — ELIZABETH ANN MACKENZIE MS
Practice Location Address:

4189 SW HIGH MEADOWS AVE
PALM CITY, FL
34990-3725

Practice Phone: 772-254-4347
Practice Fax: 772-212-8462

1134795180 — DANA WILLIAMS APRN, PMHNP-BC
Practice Location Address:

4189 SW HIGH MEADOWS AVE
PALM CITY, FL
34990-3725

Practice Phone: 772-254-4347
Practice Fax: 772-212-8462

1679537625 — DR. FRED WILLIAM THEYE PHD
Practice Location Address:

13416 HARBOUR RIDGE BLVD
PALM CITY, FL
34990-4814

Practice Phone: 772-644-6456
Practice Fax:

1760341606 — ALEXINA KARA VEILLEUXCOSTIGAN
Practice Location Address:

1532 SW MAPP RD
PALM CITY, FL
34990-2446

Practice Phone: 772-678-6704
Practice Fax:

1801023882 — TROY B DIXON MS, BCBA
Practice Location Address:

1532 SW MAPP RD
PALM CITY, FL
34990-2446

Practice Phone: 772-678-6704
Practice Fax:

Directions to “ MRS. ELIZABETH REYNOLDS ” 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.