| Tina Marie Reynolds, NP | |
| 3000 S Mccall Rd, Englewood, FL 34224-8616 | |
| (941) 841-4200 | |
| (941) 841-4201 | 
| Full Name | Tina Marie Reynolds | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 3000 S Mccall Rd, Englewood, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023273232 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | APRN11002316 (Florida) | Primary | 
| Entity Name | Millennium Physician Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 | 
| Entity Name | Longevity Clinical Ltc Associates Of Florida Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639743750 PECOS PAC ID: 2163826249 Enrollment ID: O20210811003233 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tina Marie Reynolds, NP 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Tina Marie Reynolds, NP 3000 S Mccall Rd, Englewood, FL 34224-8616 Ph: (941) 841-4200 | 
| Tiffany Kristine Lamarca, FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Englewood Rd Ste 5, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
| Monic Menard, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2061 Englewood Rd, Suite 4, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
| Devon Smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-548-1716 | |
| Amanda Mariah Munden,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 | |
| Mrs. Christiana Sipper Casanova, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Medical Dr, Englewood, FL 34223 Phone: 941-280-0499 Fax: 941-340-0601 | |
| Melissa Jenkins,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Drury Ln, Englewood, FL 34224 Phone: 313-806-2619 |