Individual provider · Type 1 NPI

Theresa Augusta Regis, PHYSICIAN ASSISTANT

Medical Physician Assistant · Vero Beach, FL

NPI number 1609843358 Active

Practice location

1155 35th Ln, Suite 100
Vero Beach, FL 32960-6521

Call (772) 569-2330 Map

Fax (772) 569-2630

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9104895 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1609843358

Theresa Augusta Regis, PHYSICIAN ASSISTANT's National Provider Identifier is 1609843358, issued on Mar 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vero Beach, FL. The record was last updated on Dec 23, 2009.