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

Mrs. Itzel Sandoval-Reynoso, PA-C

Individual provider Medical Physician Assistant · NPI 1356011514

Mrs. Itzel Sandoval-Reynoso, PA-C is a Physician Assistant in St Augustine, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2021, 5 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

380 Pine Leaf Dr
St Augustine, FL 32092-1462
Phone: (904) 707-3147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 — (904) 953-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115077 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9115077 (FL)

Record details

NPI number1356011514
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2021 (5 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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