Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colette R Raine, PA-C

Individual provider Medical Physician Assistant · NPI 1679197495

Colette R Raine, PA-C is a Medical Physician Assistant in Saint Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7901 4th St N Ste 300
Saint Petersburg, FL 33702-4399
Phone: (407) 550-7755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9113340 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679197495
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

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