MEDICARE: REYNICA CADET APRN

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	363LF0000X	Family Nurse Practitioner	APRN11035255	FL

General Provider Information

NPI Number	:	1821724667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REYNICA CADET APRN

Provider Business Mailing Address
First Line	:	4120 HENDERSON BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5750
Country	:	US
Telephone Number	:	813-281-5353
Fax Number	:	813-207-0583

Provider Business Practice Location Address
First Line	:	4120 HENDERSON BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5750
Country	:	US
Telephone Number	:	813-281-5353
Fax Number	:	813-207-0583

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

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	04/19/2026

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