Matthew Reynolds, | |
1122 Hallamwood Trl S, Lakeland, FL 33813-1818 | |
(863) 450-0456 | |
Not Available |
Full Name | Matthew Reynolds |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1122 Hallamwood Trl S, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881235059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | RN9317915 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11004883 (Florida) | Primary |
Entity Name | Florida Spine & Pain Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053769661 PECOS PAC ID: 7012294556 Enrollment ID: O20170510000924 |
Mailing Address | Practice Location Address |
---|---|
Matthew Reynolds, 1122 Hallamwood Trl S, Lakeland, FL 33813-1818 Ph: (863) 450-0456 | Matthew Reynolds, 1122 Hallamwood Trl S, Lakeland, FL 33813-1818 Ph: (863) 450-0456 |
Adelene Soto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Marcum Rd, Lakeland, FL 33809 Phone: 863-815-3775 Fax: 863-815-3765 | |
Ana Lymaries Velez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 S Florida Ave Ste 200, Lakeland, FL 33813 Phone: 863-209-7004 Fax: 863-607-3881 | |
Jennifer Frasier, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-607-9776 | |
Cheza Marie Wilkinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7490 Fax: 866-264-8519 | |
Andrea Beale, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-5020 Fax: 384-284-5387 | |
Reanna Maxwell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2024 Edgewood Dr S, Lakeland, FL 33803 Phone: 863-232-4323 Fax: 863-337-5728 | |
Anjali Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 |