Regenesis Llc

LBN: Lifestyle Performance Medicine
Regenesis Llc is an health care organization with primary practice located at 24847 Commercial Ave , Orange Beach AL 36561-3845. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lifestyle Performance Medicine can be contacted via phone (251) 979-2067, or through Vega, Susan via phone (850) 889-0711.

Contact Information

Primary practice address
24847 Commercial Ave Orange Beach AL 36561-3845
Phone: (251) 979-2067
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vega, Susan
Phone: (850) 889-0711

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD34871 Alabama

Profile Details

NPI number 1922451376
LBN Legal business name Lifestyle Performance Medicine
DBA Doing business as Regenesis Llc
Authorized official Vega, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2016
Last updated Jul 25th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922451376 NPPES
Florida Other PA9108469 MEDICAL LICENSE-FLORIDA
Florida Other MD34871 MEDICAL LICENSE-FLORIDA
Florida Other PA1108 MEDICAL LICENSE-FLORIDA
Florida Other ME83357 MEDICAL LICENSE-FLORIDA

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