Reginald Denizard in Lake Worth - Physician Assistant
Reginald Denizard - NPI 1164490686
Reginald Denizard is a Physician Assistant in Lake Worth, Florida. Reginald Denizard practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Reginald Denizard is 1164490686. The last update date is 2008-03-07.
Reginald Denizard's current location address is 4363 Hunting Trl, Lake Worth, Florida. You can contact this provider via phone number 5617234210. The mailing address for Reginald Denizard is 4363 Hunting Trl, Lake Worth, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reginald Denizard |
|---|---|
| Address | 4363 Hunting Trl, Lake Worth, Florida |
| Phone Number | 5617234210 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1164490686 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 4363 Hunting Trl |
|---|---|
| City | Lake Worth |
| State | Florida (FL) |
| Post Code | 334673505 |
| Phone Number | 5617234210 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103579 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Reginald Denizard's 1164490686?
The Reginald Denizard's NPI (National Provider Identifier) Number is 1164490686. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Reginald Denizard is located?
The Reginald Denizard is situated at the following address: 4363 Hunting Trl, Lake Worth, FL, 334673505.
What is Reginald Denizard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Reginald Denizard is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Reginald Denizard receive its 1164490686 assignment from the Centers for Medicare & Medicaid Services?
The Reginald Denizard was assigned its 1164490686 on 2006-03-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Reginald Denizard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Reginald Denizard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-07.
NPI Number: 1699778829
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