Individual ProviderFlorita ReyesPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3100 Douglas Blvd, Roseville, CA 95661-3866(916) 774-8300(800) 470-0071PECOS EnrollmentBased on the most recent information from CMS, provider Florita Reyes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1326068214Provider TypeIndividualFull NameReyes, FloritaCredentialPAGenderFemaleSole ProprietorNoEnumeration Date7/20/2006Last Updated6/10/2016Contact InformationPractice LocationPractice Address3100 Douglas Blvd, Roseville, CA 95661-3866Phone(916) 774-8300Fax(916) 773-7145Mailing LocationMailing AddressPO Box 255228, Sacramento, CA 95865-5228Phone(800) 470-0071FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA16943CaliforniaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicensePA16943California