| Renaissance Rejuvenating Medicine Inc | |
|
629 Sw 4th St Cape Coral FL 33991-1971 | |
| (239) 800-3028 | |
| (239) 599-4893 |
| Full Name | Renaissance Rejuvenating Medicine Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 629 Sw 4th St, Cape Coral, Florida |
| Authorized Official Name and Position | Alfonso Garcia Bello (PRESIDENT) |
| Authorized Official Contact | 2398003028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Rejuvenating Medicine Inc 629 Sw 4th St Cape Coral FL 33991-1971 Ph: (239) 800-3028 | Renaissance Rejuvenating Medicine Inc 629 Sw 4th St Cape Coral FL 33991-1971 Ph: (239) 800-3028 |
| NPI Number | 1528543725 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528543725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QR1100X | Clinic/center - Research | (* (Not Available)) | Secondary |
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