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Contact Information

PHYSICAL EVIDENCE REGEN, LLC
7035 BERACASA WAY STE 103
BOCA RATON, FL33433-3454
 Phone: 561-674-1217
 Fax: 561-287-6556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for PHYSICAL EVIDENCE REGEN LLC · (Female)

NPI # 1952021891
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2022
Last updated 08/31/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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