Medical Regenerative Centers | |
27001 Us Hwy N Ste 1033b Clearwater FL 33761 | |
(727) 262-4476 | |
(813) 336-8688 |
Full Name | Medical Regenerative Centers |
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Speciality | Clinic/Center |
Location | 27001 Us Hwy N, Clearwater, Florida |
Authorized Official Name and Position | Victor Cruz (OWNER) |
Authorized Official Contact | 8138083142 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Regenerative Centers 27001 Us Hwy N Ste 1033b Clearwater FL 33761 Ph: (727) 262-4476 | Medical Regenerative Centers 27001 Us Hwy N Ste 1033b Clearwater FL 33761 Ph: (727) 262-4476 |
NPI Number | 1770182073 |
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Provider Enumeration Date | 10/19/2020 |
Last Update Date | 04/02/2021 |
Medicare PECOS PAC ID | 5496169278 |
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Medicare Enrollment ID | O20210208001061 |
Identifier | Type | State | Issuer |
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1770182073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | David C Magnano |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649394990 PECOS PAC ID: 5092775833 Enrollment ID: I20070914000532 |
Provider Name | Victor D Cruz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20140128000725 |
Provider Name | Yared Vazquez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912202599 PECOS PAC ID: 7911137716 Enrollment ID: I20180220001626 |
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