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

Reginald Denizard, PA

Individual provider Physician Assistant · NPI 1164490686

Reginald Denizard, PA is a Physician Assistant in Riviera Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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

7305 N Military Trl
Riviera Beach, FL 33410-7417
Phone: (561) 422-7589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103579 (FL)

Record details

NPI number1164490686
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 10, 2006
Last updated in NPPESMarch 7, 2008
Mailing address4363 Hunting Trl, Lake Worth, FL 33467-3505

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