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Regina D Pruitt, PA-C
Medical Physician Assistant in Bradenton, Florida
NPI 1295940914

Regina D Pruitt is a Medical Physician Assistant based in Rockledge, FL and is specialized in Medical. Regina D Pruitt practices in Bradenton, FL and has the professional credentials of PA-C. The NPI Number for Regina D Pruitt is 1295940914 and holds a License No. PA.493 (Florida).

The current practice location address for Regina D Pruitt is 5717 21St Ave W, Bradenton, FL and can be reached out via phone at 941-792-8383 and via fax at 941-792-8484. You can also correspond with Regina D Pruitt through the mailing address at 3300 S FISKE BLVD, ROCKLEDGE, FL - 32955-4306 (mailing address contact number: ).

Location: 5717 21St Ave W, Bradenton, FL, 32955-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295940914
Provider Name
Regina D Pruitt
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5717 21St Ave W, Bradenton, FL, 32955-4306
Phone Number
941-792-8383
Fax Number
941-792-8484
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA575 01 FL HF MA
institution
Provider Business Practice Location Address Details
Address
5717 21St Ave W
City
Bradenton
State
Florida
Zip
34209
Phone Number
941-792-8383
Fax Number
941-792-8484
person
Provider Business Mailing Address Details
Address
3300 S Fiske Blvd
City
Rockledge
State
Florida
Zip
32955-4306
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9113304 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA-493 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA.493 (Alabama)
Definition
Definition to come...
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