Rejuva Med

LBN: Rejuva Med
Rejuva Med is an health care organization with primary practice located at 28945 State Road 54 Suite 101, Wesley Chapel FL 33543. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Rejuva Med can be contacted via phone (813) 907-0950, or through Andronico, Kenneth via phone (813) 907-0950.

Contact Information

Primary practice address
28945 State Road 54 Suite 101 Wesley Chapel FL 33543
Phone: (813) 907-0950
Fax: (813) 907-7949
Website:
Map and Directions
Authorized official contact:
Name: Andronico, Kenneth Doctor of Osteopathy (DO)
Phone: (813) 907-0950

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OS004967 Florida

Profile Details

NPI number 1629443643
LBN Legal business name Rejuva Med
DBA Doing business as
Authorized official Andronico, Kenneth Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2015
Last updated Dec 2nd, 2015 - about 11 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 1629443643 NPPES
Florida MEDICAID 013795600

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