Active NPI
Douglas Re, P.A.
- Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103254
- Practice address
- 6001 Webb Rd
Emergency Department
Tampa, FL 33615-3241 - Phone
- (813) 888-7060
- NPI assigned
- Jun 18, 2006
- Last updated
- May 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103254 | FL | Primary |
Addresses
Primary practice location
6001 Webb Rd
Emergency Department
Tampa, FL 33615-3241
Mailing address
861 SW 78TH Ave
Suite #100B
Plantation, FL 33324-3229
Phone (954) 693-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292115400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Pablo St
Lakeland, FL 33803-3818
Phone (863) 284-5941
23749 US Hwy 27
Lake Wales, FL 33859-7802
Phone (863) 687-1472
3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone (863) 603-6565
4710 S Florida Ave
Lakeland, FL 33813-2165
Phone (863) 284-5000
5101 US Hwy 98 S
Lakeland, FL 33812-4384
Phone (863) 284-1647
930 Marcum Rd
Suite 10
Lakeland, FL 33809-4308
Phone (863) 284-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1627 | SD | MD | Physical Therapist |
| PA9103254 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St Marys | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Leesburg Regional Medical Center Physician Services LLC | Current | Accepting new patients | |
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Huron Regional Medical Center Inc | Current | Accepting new patients | |
| Adventist Health System/ Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Huron Laboratory SVC PC | Current | Accepting new patients | |
| Treasure Coast Medical Associates | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Adventist Health System /Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Osprey Emergency Physicians LLC | Past | Accepting new patients | |
| Amelia Express Care, LLC | Past | Accepting new patients | |
| Lake City Medical Center Emergency Physicians, LLC | Past | Accepting new patients | |
| Tarpon Springs Emergency Physicians, LLC | Past | Accepting new patients | |
| Women's Wellness Center, Prof. L.L.C. | Past | Accepting new patients | |
| Pasco Emergency Physicians LLC | Past | Accepting new patients | |
| Sebring Emergency Physicians LLC | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762
305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650
7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
172 4th St SE
Huron, SD 57350
Phone (605) 353-6593
Networks
- Freedom Health HMO Network
Interoperability endpoints
- dre56680@lrhs.direct-ci.com
- dre745210@direct.shands.ufl.edu
- https://api.platform.athenahealth.com/3382/brand/1/csg/1/fhir/r4
Organizations & group practices 29
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
dba Advanced Dermatology and Cosmetic Surq
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
- Emergency Medicine Physician
- Leesburg, FL
- NPI 1104063114
-
- Critical Access Hospital
- Huron, SD
- NPI 1154312429
-
dba AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
-
- Primary Care Clinic/Center
- Fernandina Beach, FL
- NPI 1952701435
-
dba CareSpot Urgent Care / CareSpot - Clermont
- Urgent Care Clinic/Center
- Orlando, FL
- NPI 1306367503
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Bartow, FL
- NPI 1558338574
-
dba Stuart Urgent Care
- Emergency Medicine Physician
- Jensen Beach, FL
- NPI 1992791198
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
- Critical Access Hospital
- Huron, SD
- NPI 1154312429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1235174830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 SW 78TH AVE",
"address_2": "SUITE #100B",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243229",
"telephone_number": "954-693-0000",
"fax_number": "954-693-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 WEBB RD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336153241",
"telephone_number": "813-888-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RE",
"first_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292115400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.