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

Ethan Anthony Reulet

Individual provider Nurse Practitioner · NPI 1215576590

Ethan Anthony Reulet is a Nurse Practitioner in Summerfield, Florida. Qualified in 2020, 6 years ago. Practices with Cora Health Services Inc, a 1,144-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020

Practice location Address checks out

17136 SE 109th Terrace Rd Ste 4
Summerfield, FL 34491-9032
Phone: (352) 320-6154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11038180 (FL)

Record details

NPI number1215576590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESJuly 11, 2026
Certification dateJuly 11, 2026
Mailing address17136 Se 109th Terrace Rd Ste 4, Summerfield, FL 34491-9032

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cora Health Services Inc — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Summerfield