Regina D Pruitt is a Surgical in Bradenton, Florida. Regina D Pruitt practices all healthcare services and medical treatments related to Surgical. The NPI Number for Regina D Pruitt is 1295940914. The last update date is 2022-05-17.
Regina D Pruitt's current location address is 5717 21st Ave W, Bradenton, Florida. You can contact this provider via phone number 9417928383 and fax number 9417928484. The mailing address for Regina D Pruitt is 5717 21st Ave W, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regina D Pruitt |
|---|---|
| Address | 5717 21st Ave W, Bradenton, Florida |
| Phone Number | 9417928383 |
| Fax Number | 9417928484 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1295940914 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2022-05-17 |
Provider Mailing Address Detail
| Address | 5717 21st Ave W |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 34209 |
| Phone Number | 9417928383 |
| Fax Number | 9417928484 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA-493 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA575 | FL | HF MA |
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What is the unique 10-digit identification code assigned to Regina D Pruitt by the Centers for Medicare & Medicaid Services?
The Regina D Pruitt has been issued the NPI (National Provider Identifier) 1295940914, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Regina D Pruitt located?
The Regina D Pruitt is located at 5717 21St Ave W, Bradenton, FL 34209.
What is Regina D Pruitt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Regina D Pruitt is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
When did the Regina D Pruitt receive its 1295940914?
The Regina D Pruitt was issued its 1295940914 on 2007-05-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Regina D Pruitt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Regina D Pruitt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-17.
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