MEDICARE: REGINA D DEIPARINE NLMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	45105	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45105	OTHER	FL	FLORIDA LICENSE

General Provider Information

NPI Number	:	1972798494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA D DEIPARINE NLMT

Provider Business Mailing Address
First Line	:	102 PINE TREE DR
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-2634
Country	:	US
Telephone Number	:	386-547-3910
Fax Number	:	386-615-4951

Provider Business Practice Location Address
First Line	:	533 N NOVA RD
Second Line	:	SUITE 102
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-4447
Country	:	US
Telephone Number	:	386-615-4990
Fax Number	:	386-615-4951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	09/07/2007

Similar Medicare Providers

1538161211 — CHRISTINE BARBARA HERMAN ACSW, LCSW, LMSW
Practice Location Address:

533 N NOVA RD , SUITE 203
ORMOND BEACH, FL
32174-4447

Practice Phone: 386-672-7274
Practice Fax:

1457336034 — JERI FRANCOEUR MS ATC
Practice Location Address:

533 N NOVA RD , SUITE 102
ORMOND BEACH, FL
32174-4447

Practice Phone: 386-615-4990
Practice Fax: 386-615-4951

1922052232 — MR. WILLIAM PATRICK BRENNAN L.M.H.C., C.A.P.
Practice Location Address:

533 N NOVA RD , SUITE 202
ORMOND BEACH, FL
32174-4447

Practice Phone: 386-672-7470
Practice Fax:

1275557449 — MISS DORIS JANE JONES ARNP
Practice Location Address:

533 N NOVA RD , SUITE 203
ORMOND BEACH, FL
32174-4447

Practice Phone: 386-672-7175
Practice Fax: 386-672-0771

1144424334 — GWEN H KOTLER MSW,LCSW
Practice Location Address:

533 N NOVA RD , SUITE 203
ORMOND BEACH, FL
32174-4447

Practice Phone: 386-334-8430
Practice Fax:

1760651681 — SAGE MEDICAL LABORATORY, LLC
Practice Location Address:

533 N NOVA RD , SUITE 202
ORMOND BEACH, FL
32174-4447

Practice Phone: 386-944-0826
Practice Fax: 386-677-6783

Directions to “ REGINA D DEIPARINE NLMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.