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ADVANCED REJUVENATION LLC NPI 1942552575


NPI Information

NPI: 1942552575
Provider Name: ADVANCED REJUVENATION LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2033 WOOD ST
210
SARASOTA, FL
ZIP 34237
Phone: (941) 330-8553
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ADVANCED REJUVENATION LLC is a general practice in Sarasota, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADVANCED REJUVENATION LLC NPI is 1942552575. 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
210
SARASOTA, FL
ZIP 34237-900
Phone: (941) 330-8553
Fax: (941) 330-9853

The provider's authorized official is Pamela L Kirscher .
The authorized official title is President and has the following contact phone number (941) 504-2204.

The enumeration date for this NPI number is 10/5/2012 and was last updated on 10/23/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeFLORIDAYes

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

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