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NPI Profile for Dr MICHELLE R REILLO in SAINT AUGUSTINE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1275846420 |
|
| Status | Active | |
| Credentials | RN, NP, PHD | |
| Entity | Individual | |
| Enumeration date | 07/16/2010 | |
| Last updated | 01/07/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHELLE R REILLO
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MICHELLE R REILLO, RN, NP, PHD