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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REGINA D PRUITT, PA-C

Active

REGINA D PRUITT, PA-C is a Medical Physician Assistant healthcare provider located in BRADENTON, Florida. NPI 1295940914 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BRADENTON, FL

Registration Details

NPI Number
1295940914
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2007 (19.24127978996 yrs)
Last Updated
May 17, 2022
Licenses
PA.493 (AL)
PA-493 (AL)
PA9113304 (FL)

Practice Information

Address
5717 21ST AVE W
BRADENTON, FL, 34209
Browse FL providers · Browse ZIP 34209
Phone
9417928383
Fax
9417928484
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BRADENTON, FL

Name Credential NPI
MR. DANIEL H OBER PA 1013902261
RONI K MARINO PA-C 1356331417
KAREN M DEBARON PA 1053395061
BRIDGET M KINANE PA 1982680435
MR. JOHN E DAROVEC JR. PA-C 1295770816
MRS. AMY C HUBER PA 1922037571
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.