Provider Demographics
NPI:1962472712
Name:D'LIMA, REYNOLD RODNEY MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:REYNOLD
Middle Name:RODNEY MARK
Last Name:D'LIMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4881 SUGAR MAPLE DRIVE
Mailing Address - Street 2:FAMILY PRACTICE, WRIGHT PATTERSON AIR FORCE BASE
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45433-5529
Mailing Address - Country:US
Mailing Address - Phone:513-417-2613
Mailing Address - Fax:937-656-1843
Practice Address - Street 1:4881 SUGAR MAPLE DRIVE
Practice Address - Street 2:FAMILY PRACTICE, WRIGHT PATTERSON AIR FORCE BASE
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45433-5529
Practice Address - Country:US
Practice Address - Phone:513-417-2613
Practice Address - Fax:937-656-1843
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00020783207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine