Regenesis LLC

Medical Physician Assistant · Pace, FL

Organization Active NPI

NPI number 1366831554

Practice location

4960 Highway 90 Ste 115
Pace, FL 32571-1413
Phone
(850) 889-0711
Fax
(850) 807-5059

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NPI record

NPI
1366831554
Entity type
Organization (Type 2)
Enumeration date
January 12, 2015
Last updated
January 12, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Medical Physician Assistant Primary 363AM0700X PA9108469 FL

Mailing address

4960 Hwy 90 Suite 115
Pace, FL 32571
Phone
(850) 889-0711
Fax
(850) 807-5059

Authorized official

Name
David Lemay, M.D.
Title
President
Phone
85008890711

About Regenesis LLC

Regenesis LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Medical Physician Assistant (code 363AM0700X). The practice location is 4960 Highway 90 Ste 115, Pace, FL 32571-1413. The NPI number 1366831554 was assigned on January 12, 2015 and the record was last updated on January 12, 2015.

Regenesis LLC lists a license in the registry: #PA9108469 (FL) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is David Lemay, M.D., President.

Frequently asked questions

What is the NPI number of Regenesis LLC?

The NPI number is 1366831554.

What is the phone number of Regenesis LLC?

The phone number listed for the practice location is (850) 889-0711.

Where is Regenesis LLC located?

4960 Highway 90 Ste 115, Pace, FL 32571-1413.

What is the taxonomy code for Regenesis LLC?

The primary taxonomy code is 363AM0700X – Medical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.