| Swfl Scientific Rejuvenation Llc | |
|
122 Nesbit St Punta Gorda FL 33950-3653 | |
| (239) 270-2882 | |
| Not Available |
| Full Name | Swfl Scientific Rejuvenation Llc |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 122 Nesbit St, Punta Gorda, Florida |
| Authorized Official Name and Position | Rae Ann Antonucci (OWNER) |
| Authorized Official Contact | 9416626750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swfl Scientific Rejuvenation Llc 122 Nesbit St Punta Gorda FL 33950-3653 Ph: (239) 270-2882 | Swfl Scientific Rejuvenation Llc 122 Nesbit St Punta Gorda FL 33950-3653 Ph: (239) 270-2882 |
| NPI Number | 1023786928 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023786928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
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