| Renewal Therapy Services Llc | |
|
5036 Trouble Creek Rd New Port Richey FL 34652-4904 | |
| (813) 735-4635 | |
| Not Available |
| Full Name | Renewal Therapy Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 5036 Trouble Creek Rd, New Port Richey, Florida |
| Authorized Official Name and Position | Karla Francheska Miranda Medina (OWNER) |
| Authorized Official Contact | 7874355170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Therapy Services Llc 5036 Trouble Creek Rd New Port Richey FL 34652-4904 Ph: (813) 735-4635 | Renewal Therapy Services Llc 5036 Trouble Creek Rd New Port Richey FL 34652-4904 Ph: (813) 735-4635 |
| NPI Number | 1659103448 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 05/11/2026 |
| Medicare PECOS PAC ID | 7517483803 |
|---|---|
| Medicare Enrollment ID | O20250429004050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659103448 | NPI | - | NPPES |
| Provider Name | Karla Francheska Miranda Medina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093073454 PECOS PAC ID: 8628320280 Enrollment ID: I20181009001847 |
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