Search › Florida › 363A00000X
Itzel Sandoval-Reynoso, PA-C
NPI 1356011514 · on the registry since 2021
Practice
- Address
- 380 Pine Leaf Dr
St Augustine, FL 32092 - Phone
- (904) 707-3147
Additional practice sites
- 4500 San Pablo Rd S, Jacksonville, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida