Reynolds, Gerald Edward

Reynolds, Gerald Edward is an individual health care provider with primary practice located at 4685 N Highway 19A , Mount Dora FL 32757-2039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reynolds, Gerald Edward can be contacted via phone (352) 589-5900.

Contact Information

Primary practice address
4685 N Highway 19A Mount Dora FL 32757-2039
Phone: (352) 589-5900
Fax: (352) 589-5904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0003577 Florida

Profile Details

NPI number 1942392873
LBN Legal business name Reynolds, Gerald Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 20th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942392873 NPPES
Florida MEDICAID 038568900
Florida Other 080130087

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