| Modern Rejuvenation Center, LLC | |
|
11495 N Penn St Ste 100 Carmel IN 46032-6200 | |
| (317) 827-6326 | |
| (317) 827-6328 |
| Full Name | Modern Rejuvenation Center, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 11495 N Penn St Ste 100, Carmel, Indiana |
| Authorized Official Name and Position | Antonio Senat (OWNER) |
| Authorized Official Contact | 3178276326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Rejuvenation Center, LLC 11495 N Penn St Ste 100 Carmel IN 46032-6200 Ph: (317) 827-6326 | Modern Rejuvenation Center, LLC 11495 N Penn St Ste 100 Carmel IN 46032-6200 Ph: (317) 827-6326 |
| NPI Number | 1174105035 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174105035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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