| Rejuvenation Care Clinic Of Central Florida | |
|
12221 E Colonial Dr Apt 1105 Orlando FL 32826-4762 | |
| (800) 641-9128 | |
| Not Available |
| Full Name | Rejuvenation Care Clinic Of Central Florida |
|---|---|
| Speciality | General Practice |
| Location | 12221 E Colonial Dr Apt 1105, Orlando, Florida |
| Authorized Official Name and Position | Claxton Copeland (PRESIDENT) |
| Authorized Official Contact | 8006419128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenation Care Clinic Of Central Florida 12221 E Colonial Dr Apt 1105 Orlando FL 32826-4762 Ph: (800) 641-9128 | Rejuvenation Care Clinic Of Central Florida 12221 E Colonial Dr Apt 1105 Orlando FL 32826-4762 Ph: (800) 641-9128 |
| NPI Number | 1376005009 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376005009 | NPI | - | NPPES |
| L19000063350 | Other | FL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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