ADVANCED REJUVINATION NPI 1710238597

NPI Information

NPI: 1710238597
Provider Name: ADVANCED REJUVINATION
Classification: Preventive Medicine - 2083S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2033 WOOD ST
SUITE 210
SARASOTA, FL
ZIP 34237
Phone: (941) 330-8553
Get Directions

ADVANCED REJUVINATION is a sports medicine preventive medicine in Sarasota, FL. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. ADVANCED REJUVINATION NPI is 1710238597. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2033 WOOD ST
SUITE 210
SARASOTA, FL
ZIP 34237-900
Phone: (941) 330-8553
Fax: (941) 330-9853

The provider's authorized official is John Lieurance .
The authorized official title is Administrator and has the following contact phone number (941) 330-8553.

The enumeration date for this NPI number is 9/20/2012 and was last updated on 9/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NN0400X	Chiropractor	Neurology	CH7524	FLORIDA	No
2	171100000X	Acupuncturist		AP2975	FLORIDA	No
3	208D00000X	General Practice		OS5165	FLORIDA	No
4	2083S0010X	Preventive Medicine	Sports Medicine	ME30555	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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