Provider Demographics
NPI:1104147461
Name:MEYER, REYLINDA J (ARNP)
Entity type:Individual
Prefix:
First Name:REYLINDA
Middle Name:J
Last Name:MEYER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 N PINE HILLS RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-7247
Mailing Address - Country:US
Mailing Address - Phone:407-445-4500
Mailing Address - Fax:407-770-5514
Practice Address - Street 1:910 N PINE HILLS RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-7247
Practice Address - Country:US
Practice Address - Phone:407-445-4500
Practice Address - Fax:407-770-5514
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9307486363LF0000X
FLRN9307486163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003527200Medicaid