Exilus, Reginald

Exilus, Reginald is an sole proprietor health care provider with primary practice located at 4700 N State Road 7 , Lauderdale Lakes FL 33319-5800. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Exilus, Reginald can be contacted via phone (954) 730-7284.

Contact Information

Primary practice address
4700 N State Road 7 Lauderdale Lakes FL 33319-5800
Phone: (954) 730-7284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11002042 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN11002042 Florida

Profile Details

NPI number 1801452628
LBN Legal business name Exilus, Reginald
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2019
Last updated Jan 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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