Modern Rejuvenation Center, LLC

NPI #1174105035 in Carmel, Indiana

Provider Information

NPI Number: 1174105035
Entity Type: Organization
Organization Name: Modern Rejuvenation Center, LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 21, 2021
Last Updated: May 19, 2021

Practice Location

Address: 11495 N PENN ST STE 100
City: Carmel
State: Indiana
ZIP Code: 46032-6200
Phone: (317) 827-6326

Authorized Official

Name: ANTONIO SENAT, MD
Title: OWNER
Phone: (317) 827-6326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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