Age Rejuvenation is a
Family Medicine based in Winter Park, Florida. Age Rejuvenation is licensed to practice in * (Not Available) (license number ) and their current practice location is
125 N Orlando Ave Ste 115, Winter Park, Florida. It can be reached at their office (for appointments etc.) via phone at
(407) 565-5929.
NPI number for Age Rejuvenation is 1801603717 and their current mailing address is 2409 N Falkenburg Rd, Tampa, Florida. Age Rejuvenation
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1801603717.
Healthcare Provider's Profile
| Full Name | Age Rejuvenation |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 125 N Orlando Ave Ste 115, Winter Park, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801603717
- Provider Enumeration Date: 12/13/2024
- Last Update Date: 01/20/2025
Medical Identifiers
Medical identifiers for Age Rejuvenation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801603717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Age Rejuvenation is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Age Rejuvenation 2409 N Falkenburg Rd, Tampa, FL 33619-0915 Ph: Not Available | Age Rejuvenation 125 N Orlando Ave Ste 115, Winter Park, FL 32789-3605 Ph: (407) 565-5929 |
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