Organization · NPI-2
2rejuv MD Services INC.
Clinic/Center · Tampa, FL
NPI number1689248312
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1689248312
- Entity type
- Organization (NPI-2)
- Legal business name
- 2rejuv MD Services INC.
- Organization subpart
- No
- Enumeration date
- May 17, 2021
- Certification date
- May 17, 2021
- Last updated
- May 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Other names
- 2rejuv (Doing Business As)
Practice location
812 W Dr Martin Luther King Jr Blvd Ste 202Tampa, FL 33603-3338
Phone 877-627-3588
Mailing address
812 W Dr Martin Luther King Jr Blvd Ste 202Tampa, FL 33603-3338
Phone 877-627-3588
Authorized official
Ronald Figueredo
Owner
6109523430
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