Healthcare Provider Details

I. General information

NPI: 1437536257
Provider Name (Legal Business Name): ALAINA LEE GREGORY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 ENTERPRISE RD E STE 100
CLEARWATER FL
33759-1067
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 727-799-6255
  • Fax: 813-635-7865
Mailing address:
  • Phone: 727-532-0002
  • Fax: 813-635-7865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9108693
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: