# REGENESIS ORTHOPEDICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073286787
- **Authorized official:** MATTHEW RAGSDELL DO (PRESIDENT)
- **Authorized official phone:** (727) 826-0329

## Contact information

- **Practice address:** 1615 PASADENA AVE S STE 290, SOUTH PASADENA, FL 33707-4517
- **Practice address phone:** (727) 826-0329
- **Practice address fax:** (727) 202-7193
- **Mailing address:** 1615 PASADENA AVE S STE 290, SOUTH PASADENA, FL 33707-4517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 10/05/2021