Individual
REGINE M PAPPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1649 W EAU GALLIE BLVD, STE 100, MELBOURNE, FL 32935
(321) 255-4949
(321) 255-0887
Mailing address
1649 W EAU GALLIE BLVD, STE 100, MELBOURNE, FL 32935
(321) 255-4949
(321) 255-0887
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME73882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252626300
—
FL
01
—
41999W
BC BS
FL
Enumeration date
09/07/2005
Last updated
02/11/2008
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