Pruitt, Regina D

Pruitt, Regina D is an individual health care provider with primary practice located at 5717 21St Ave W , Bradenton FL 34209. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Pruitt, Regina D can be contacted via phone (941) 792-8383.

Contact Information

Primary practice address
5717 21St Ave W Bradenton FL 34209
Phone: (941) 792-8383
Fax: (941) 792-8484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.493 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-493 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9113304 Florida

Profile Details

NPI number 1295940914
LBN Legal business name Pruitt, Regina D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated May 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295940914 NPPES
Florida Other PA575 HF MA

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