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RENAISSANCE REJUVENATING MEDICINE INC NPI 1528543725


NPI Information

NPI: 1528543725
Provider Name: RENAISSANCE REJUVENATING MEDICINE INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2137411

Address:
629 SW 4TH ST
CAPE CORAL, FL
ZIP 33991
Phone: (239) 800-3028
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RENAISSANCE REJUVENATING MEDICINE INC is a multi-specialty clinic center in Cape Coral, FL. RENAISSANCE REJUVENATING MEDICINE INC NPI is 1528543725. The provider is registered as an organization entity type.

The provider's business location address is:

629 SW 4TH ST
CAPE CORAL, FL
ZIP 33991-971
Phone: (239) 800-3028
Fax: (239) 599-4893

The provider's authorized official is Alfonso Garcia Bello .
The authorized official title is President and has the following contact phone number (239) 800-3028.

The CLIA number assigned to this NPI record is 10D2137411 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2018 and was last updated on 3/29/2021.


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
1261QR1100XClinic/CenterResearchNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.