Healthcare Provider Details

I. General information

NPI: 1255085452
Provider Name (Legal Business Name): REGINA DOLORES PERRY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REGINA DOLORES CARRERAS

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 BROTHER GEENEN WAY
SARASOTA FL
34236-7102
US

IV. Provider business mailing address

1750 17TH ST STE E
SARASOTA FL
34234-8666
US

V. Phone/Fax

Practice location:
  • Phone: 941-529-0200
  • Fax: 833-606-0218
Mailing address:
  • Phone: 941-529-0200
  • Fax: 855-526-0216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN11016556
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: