Individual
MRS. RENAE LEA DEGRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4301 N HABANA AVE, TAMPA, FL 33607-6546
(813) 879-5010
(813) 443-8148
Mailing address
4301 N HABANA AVE, TAMPA, FL 33607-6546
(813) 879-5010
(813) 443-8148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001887
CT
363A00000X
Physician Assistant
PA9108819
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9108819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015437600
—
FL
Enumeration date
03/01/2007
Last updated
04/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us