| Rejuvimed Wellness Center | |
|
9660 W Sample Rd Ste 103 Coral Springs FL 33065-4034 | |
| (954) 366-6297 | |
| Not Available |
| Full Name | Rejuvimed Wellness Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 9660 W Sample Rd Ste 103, Coral Springs, Florida |
| Authorized Official Name and Position | Michaelann Gomera (BILLING MANAGER) |
| Authorized Official Contact | 9543666287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvimed Wellness Center 9660 W Sample Rd Ste 103 Coral Springs FL 33065-4034 Ph: (954) 366-6287 | Rejuvimed Wellness Center 9660 W Sample Rd Ste 103 Coral Springs FL 33065-4034 Ph: (954) 366-6297 |
| NPI Number | 1154776458 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 3870860117 |
|---|---|
| Medicare Enrollment ID | O20170517001224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154776458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Raja Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710128657 PECOS PAC ID: 6103979604 Enrollment ID: I20110913000846 |
| Provider Name | Alka A Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568605038 PECOS PAC ID: 6709050941 Enrollment ID: I20111128000090 |
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