MEDICARE: PHOEBE STELLA REAGAN

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	225X00000X	Occupational Therapist	OT22821	FL

General Provider Information

NPI Number	:	1780542811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHOEBE STELLA REAGAN

Provider Business Mailing Address
First Line	:	4523 OAK ARBOR CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-5971
Country	:	US
Telephone Number	:	860-942-6401
Fax Number	:

Provider Business Practice Location Address
First Line	:	265 E ROLLINS ST FL 8
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5502
Country	:	US
Telephone Number	:	860-942-6401
Fax Number	:

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

Similar Medicare Providers

1922967702 — JONATHAN WATERS
Practice Location Address:

265 E ROLLINS ST
ORLANDO, FL
32804-5502

Practice Phone: 407-303-8280
Practice Fax:

1396132080 — SARAH MAZIN DHANNOON DHANNOON MD
Practice Location Address:

265 E ROLLINS ST STE 5
ORLANDO, FL
32804-5502

Practice Phone: 407-821-3588
Practice Fax: 407-821-3589

1023338449 — RYAN ANTHONY DURFEE M.D.
Practice Location Address:

265 E ROLLINS ST STE 11000
ORLANDO, FL
32804-5502

Practice Phone: 844-407-4070
Practice Fax:

1861435026 — FERNANDO LUIS SANTIAGO M.D.
Practice Location Address:

265 E ROLLINS ST # 6
ORLANDO, FL
32804-5502

Practice Phone: 407-303-6729
Practice Fax: 407-628-2037

1245495878 — JENNIFER LEA SEMINERIO-DIEHL MD
Practice Location Address:

265 E ROLLINS ST STE 10000
ORLANDO, FL
32804-5502

Practice Phone: 407-303-9921
Practice Fax:

1346555299 — DHARANI MUDUGAL M.D.
Practice Location Address:

265 E ROLLINS ST # 6
ORLANDO, FL
32804-5502

Practice Phone: 407-303-6729
Practice Fax:

Directions to “ PHOEBE STELLA REAGAN ” 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.