MRS. Itzel Sandoval-Reynoso, PA-C
NPI #1356011514 in St Augustine, Florida
Provider Information
- NPI Number
- 1356011514
- Entity Type
- Individual
- Name
- MRS. Itzel Sandoval-Reynoso, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 17, 2021
- Last Updated
- Nov 21, 2025
Practice Location
- Address
- 380 PINE LEAF DR
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-1462
- Phone
- (904) 707-3147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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