Provider Demographics
NPI:1144815408
Name:DELOS REYES, JOSEPHINE SALUBRE (MD)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:SALUBRE
Last Name:DELOS REYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4625 SUN N LAKE BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2176
Mailing Address - Country:US
Mailing Address - Phone:863-314-4466
Mailing Address - Fax:863-386-0118
Practice Address - Street 1:4638 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2176
Practice Address - Country:US
Practice Address - Phone:863-386-0055
Practice Address - Fax:863-386-0118
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME171694207R00000X
FLAPRN11009656363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily