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Contact Information

REJUVA MED
28945 STATE ROAD 54
SUITE 101
WESLEY CHAPEL, FL33543
 Phone: 813-907-0950
 Fax: 813-907-7949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for REJUVA MED · (Female)

NPI Number 1629443643
Status Active
Credentials
Entity Individual
Enumeration date 12/02/2015
Last updated 12/02/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # OS004967
  • FL Medicaid 013795600
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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