Organization
REGENESIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEMAY M.D. (PRESIDENT)
85008890711
Entity
Organization
Contact information
Practice address
4960 HIGHWAY 90 STE 115, PACE, FL 32571-1413
(850) 889-0711
(850) 807-5059
Mailing address
4960 HWY 90 SUITE 115, PACE, FL 32571
(850) 889-0711
(850) 807-5059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108469
FL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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