Individual provider · Type 1 NPI

Alex Richard Reynolds, PA-C

Surgical Physician Assistant · Fort Myers, FL

NPI number 1043784432 Active

Practice location

12700 Creekside Ln Ste 301
Fort Myers, FL 33919-3356

Call (239) 343-3780 Map

Fax (239) 343-3781

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Other practice locations

  • 7331 College Pkwy Ste 300, Fort Myers, FL 33907-5524 · (239) 337-2003

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400XPA9111617 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1043784432

Alex Richard Reynolds, PA-C's National Provider Identifier is 1043784432, issued on Jan 18, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 2, 2024.