REJUVEFACE LLC NPI 1386050854

NPI Information

NPI: 1386050854
Provider Name: REJUVEFACE, LLC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
4901 CLARK RD
SARASOTA, FL
ZIP 34233
Phone: (941) 404-5438
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REJUVEFACE, LLC is a facial plastic surgery otolaryngology in Sarasota, FL. The provider is an otolaryngologist who specializes in facial plastic surgery. REJUVEFACE, LLC NPI is 1386050854. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4901 CLARK RD
SARASOTA, FL
ZIP 34233-251
Phone: (941) 404-5438

The provider's authorized official is Mark A Checcone .
The authorized official title is Facial Plastic Surgeon and has the following contact phone number (941) 404-5438.

The enumeration date for this NPI number is 7/6/2014 and was last updated on 3/10/2022.

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	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	ME113636	FLORIDA	No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	ME113636	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: 11/14/2023

NPI Synchronization or Removal

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