Regenerative Medical Group

LBN: Regenerative Medical Group
Regenerative Medical Group is an health care organization with primary practice located at 1400 Se Goldtree Dr Ste 207, Port Saint Lucie FL 34952-7582. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Regenerative Medical Group can be contacted via phone (772) 777-2836, or through Henderson, Bryn J via phone (714) 981-8058.

Contact Information

Primary practice address
1400 Se Goldtree Dr Ste 207 Port Saint Lucie FL 34952-7582
Phone: (772) 777-2836
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Bryn J Doctor of Osteopathy (DO)
Phone: (714) 981-8058

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 035817 California

Profile Details

NPI number 1578928867
LBN Legal business name Regenerative Medical Group
DBA Doing business as
Authorized official Henderson, Bryn J Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2015
Last updated Dec 31st, 2015 - about 9 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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