Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dmitriy Reznik, PA

Individual provider Physician Assistant · NPI 1851475776

Dmitriy Reznik, PA is a Physician Assistant in Fort Lauderdale, Florida. Works from 2 locations. Licensed in California, Florida, Illinois and New York.

Licensed in
CA, FL, IL, NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

101 NE 3rd Ave Ste 1500
Fort Lauderdale, FL 33301-1181
Phone: (954) 247-8790
Fax: (877) 594-6196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3031 Telegraph Ave, Oakland, CA 94609-3205 — (510) 596-8125

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117176 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 57357 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 085.002843 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 019136 (NY)

Record details

NPI number1851475776
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

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