Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Douglas Re, PA

Individual provider Physician Assistant · NPI 1235174830

Mr. Douglas Re, PA is a Physician Assistant in Tampa, Florida. Qualified in 2024, 2 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6001 Webb Rd Emergency Dept
Tampa, FL 33615-3241
Phone: (813) 888-7060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103254 (FL)

Record details

NPI number1235174830
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 18, 2006
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address861 Sw 78th Ave, Suite #100b, Plantation, FL 33324-3229

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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