A Rejuvenated Healthcare Llc

LBN: A Rejuvenated Healthcare Llc
A Rejuvenated Healthcare Llc is an health care organization with primary practice located at 3641 Tyrone Blvd N Ste 3 , St Petersburg FL 33710-1150. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. A Rejuvenated Healthcare Llc can be contacted via phone (727) 301-9628, or through Klotz, Jeremiah via phone (727) 767-0168.

Contact Information

Primary practice address
3641 Tyrone Blvd N Ste 3 St Petersburg FL 33710-1150
Fax:
Website:
Authorized official contact:
Name: Klotz, Jeremiah

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1245791235
LBN Legal business name A Rejuvenated Healthcare Llc
DBA Doing business as A Rejuvenated Healthcare Llc
Authorized official Klotz, Jeremiah
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2019
Last updated May 1st, 2019 - about 6 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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