Theresa Augusta Regis, PHYSICIAN ASSISTANT
NPI #1609843358 in Vero Beach, Florida
Provider Information
- NPI Number
- 1609843358
- Entity Type
- Individual
- Name
- Theresa Augusta Regis, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Mar 1, 2006
- Last Updated
- Dec 23, 2009
Practice Location
- Address
- 1155 35TH LN
- Address 2
- SUITE 100
- City
- Vero Beach
- State
- Florida
- ZIP Code
- 32960-6521
- Phone
- (772) 569-2330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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