REGENESIS LLC
NPI 1366831554
Physician Assistant - Medical in Pace, FL

Q: What is Regenesis LLC's NPI number?

The NPI number for Regenesis LLC is 1366831554. It was assigned to this organization in the NPPES registry on January 12, 2015.

Q: What is Regenesis LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Regenesis LLC was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2015

4960 HIGHWAY 90 STE 115, PACE, FL 32571(850) 889-0711(850) 807-5059 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Regenesis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENESIS LLC (NPI 1366831554) is a healthcare organization registered as a medical in Pace, Florida and active in the NPI registry since January 2015. The organization lists David Lemay, President, as its authorized official.

NPPES Registry Identity

NPI1366831554

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameREGENESIS LLC

Location Address4960 HIGHWAY 90 STE 115Pace, FL 32571-1413

Mailing Address4960 Hwy 90 Suite 115Pace, FL 32571 · (850) 889-0711 · Fax (850) 807-5059

Phone(850) 889-0711

Fax(850) 807-5059

Organization SubpartNo

Authorized OfficialDavid LemayPresident · 85008890711

Enumeration DateJanuary 12, 2015

✔ NPI 1366831554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9108469

4960 HIGHWAY 90 STE 115, Pace, FL 32571

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regenesis LLC's NPI number?

The NPI number for Regenesis LLC is 1366831554. It was assigned to this organization in the NPPES registry on January 12, 2015.

Where is Regenesis LLC located?

Regenesis LLC is located at 4960 Highway 90 Ste 115, Pace, FL 32571. The listed phone number is (850) 889-0711.

What is Regenesis LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Regenesis LLC was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.