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Contact Information

JASON W REYNOLDS, MD
44 VETERANS AVE
BROOKSVILLE, FL34601-3215
 Phone: 352-797-3500
 Fax: 352-797-3526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JASON W REYNOLDS · (Male)

NPI Number 1437619103
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2019
Last updated 04/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME164291
  • MI License # 4301506961
Hospital affiliation(s) Not Available
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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