David P Reyna, PA-C
Individual provider Active NPI Hospitalist Physician · Lake Butler, FL
NPI 1194471698 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1194471698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- PA9115442 (FL)
- Practice address
- 7765 S County Road 231
Lake Butler, FL 32054-5721 - Phone
- (386) 496-6000
- NPI assigned
- Feb 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9115442 | FL | MD | Hospitalist Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | PA9115442 | FL | Yes |
Addresses
Primary practice location
7765 S County Road 231
Lake Butler, FL 32054-5721
Mailing address
4115 Arcot Cir
Jacksonville, FL 32210-5117
Phone (786) 355-0267
Other providers in Lake Butler, FL
- Jamie Lynn Parrish
- Amy Lee Pendleton
- Sandra Kay Pennington
- Debbie O'Reilly Pyles
- Jeffery David Render
- William R Rhoden Jr.
- Waldemar Ricardo Riefkohl
- Vicky C Royan
- Megan Renee Ryan
- School District of Union County
All providers in Lake Butler, FL · Hospitalist Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.