Healthcare Provider Details

I. General information

NPI: 1396688461
Provider Name (Legal Business Name): ALYSSA VERETTE-REGINA ENGLISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1644 NE 22ND AVE STE E
OCALA FL
34470-7748
US

IV. Provider business mailing address

1644 NE 22ND AVE STE E
OCALA FL
34470-7748
US

V. Phone/Fax

Practice location:
  • Phone: 416-428-3923
  • Fax:
Mailing address:
  • Phone: 416-428-3923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberE236993608000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: