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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MICHAEL B REYNOLDS, DO
3480 DELTONA BLVD
SPRING HILL, FL34606-2917
 Phone: 352-600-7900
 Fax: 352-600-8994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL B REYNOLDS · (Male)

NPI Number 1669436770
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/14/2006
Last updated 10/02/2014 - More than a year ago
Sole proprietor 1 No
Identifiers
FL License # OS9017
TX License # N8977
FL Medicaid 268005000
FL Medicare PIN 81409A
FL Medicare PIN 81409Y
FL Medicare UPIN D60732
FL Other 81409 BLUE CROSS BLUE SHIELD
FL Other P01346411 RAIL ROAD MEDICARE
FL Other P00224044 RRM
TX Other 8CU379 BCBSTX
Hospital affiliation(s)
  • BROOKSVILLE REGIONAL HOSPITAL - (Acute Care)
    17240 CORTEZ BLVD
    BROOKSVILLE, FL 34601
  • OAK HILL HOSPITAL - (Acute Care)
    11375 CORTEZ BLVD
    BROOKSVILLE, FL 34613
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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