| Regenestem, LLC | |
|
9633 W Broward Blvd Ste 1 Plantation FL 33324-2332 | |
| (305) 224-1858 | |
| Not Available |
| Full Name | Regenestem, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 9633 W Broward Blvd Ste 1, Plantation, Florida |
| Authorized Official Name and Position | Ricardo Decubas (PRESIDENT) |
| Authorized Official Contact | 3052241858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenestem, LLC 9633 W Broward Blvd Ste 1 Plantation FL 33324-2332 Ph: (305) 224-1858 | Regenestem, LLC 9633 W Broward Blvd Ste 1 Plantation FL 33324-2332 Ph: (305) 224-1858 |
| NPI Number | 1427696681 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427696681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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