Regenesis LLC

NPI #1366831554 in Pace, Florida

Provider Information

NPI Number
1366831554
Entity Type
Organization
Organization Name
Regenesis LLC
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Jan 12, 2015
Last Updated
Jan 12, 2015

Practice Location

Address
4960 HIGHWAY 90 STE 115
City
Pace
State
Florida
ZIP Code
32571-1413
Phone
(850) 889-0711

Authorized Official

Name
DAVID LEMAY, M.D.
Title
PRESIDENT
Phone
85008890711

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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