Most Relevant Information
Provider Data
| NPI Number: | 1003270570 |
| Provider Name: | DEBORAH REYES |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | ND 7673 |
Most Important Dates
| Enumeration Date: | 04/11/2016 |
| Last Updated: | 04/11/2016 |
Provider Practice Location
3215 WINTER LAKE ROAD
LAKELAND
FL
33803
Practice Location Phone/Fax
| Phone: | 8636483057 |
| Fax: |
Provider Mailing Location
3215 WINTER LAKE ROAD
LAKELAND
FL
33803
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |