Reginald Denizard, PA

Physician Assistant · Riviera Beach, FL

Individual Active NPI

NPI number 1164490686

Practice location

7305 N Military Trl
Riviera Beach, FL 33410-7417
Phone
(561) 422-7589

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NPI record

NPI
1164490686
Entity type
Individual (Type 1)
Enumeration date
March 10, 2006
Last updated
March 7, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9103579 FL

Mailing address

4363 Hunting Trl
Lake Worth, FL 33467-3505
Phone
(561) 723-4210

About Reginald Denizard

Reginald Denizard, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 7305 N Military Trl, Riviera Beach, FL 33410-7417. The NPI number 1164490686 was assigned on March 10, 2006 and the record was last updated on March 7, 2008.

Reginald Denizard lists a license in the registry: #PA9103579 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Reginald Denizard, PA?

The NPI number is 1164490686.

What is the phone number of Reginald Denizard?

The phone number listed for the practice location is (561) 422-7589.

Where is Reginald Denizard located?

7305 N Military Trl, Riviera Beach, FL 33410-7417.

What is the taxonomy code for Reginald Denizard?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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