A Rejuvenated Healthcare Llc | |
3641 Tyrone Blvd N Ste 3 St Petersburg FL 33710-1150 | |
(727) 301-9628 | |
Not Available |
Full Name | A Rejuvenated Healthcare Llc |
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Speciality | Clinic/center - Primary Care |
Location | 3641 Tyrone Blvd N Ste 3, St Petersburg, Florida |
Authorized Official Name and Position | Jeremiah Klotz (OFFICE MANAGER) |
Authorized Official Contact | 7277670168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A Rejuvenated Healthcare Llc 3641 Tyrone Blvd N Ste 3 St Petersburg FL 33710-1150 Ph: (727) 301-9628 | A Rejuvenated Healthcare Llc 3641 Tyrone Blvd N Ste 3 St Petersburg FL 33710-1150 Ph: (727) 301-9628 |
NPI Number | 1245791235 |
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Provider Enumeration Date | 03/31/2019 |
Last Update Date | 05/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245791235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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