Individual
REGINA MARIE ALUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 7TH ST S STE 405, ST PETERSBURG, FL 33701-4748
(727) 893-6370
(727) 893-6371
Mailing address
601 7TH ST S STE 405, ST PETERSBURG, FL 33701-4748
(727) 893-6370
(727) 893-6371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9115154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114731500
—
FL
Enumeration date
04/02/2020
Last updated
11/04/2024
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