Individual provider · Type 1 NPI

Regina D. Pruitt, PA-C

Medical Physician Assistant · Bradenton, FL

NPI number 1295940914 Active

Practice location

5717 21st Ave W
Bradenton, FL 34209

Call (941) 792-8383 Map

Fax (941) 792-8484

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice locations

  • 1215 S East Ave Ste 301, Sarasota, FL 34239-2342 · (941) 827-0701
  • 5601 21st Ave W Ste D, Bradenton, FL 34209-5642 · (941) 792-8383

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.493 (AL)
Surgical Physician Assistant 363AS0400XPA-493 (AL)
Medical Physician Assistant Primary 363AM0700XPA9113304 (FL)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1295940914

Regina D. Pruitt, PA-C's National Provider Identifier is 1295940914, issued on May 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bradenton, FL. The record was last updated on May 17, 2022.