Rejuva Dermatology & Vein Center, Pllc

NPI #1316522691 in Venice, Florida

Provider Information

NPI Number: 1316522691
Entity Type: Organization
Organization Name: Rejuva Dermatology & Vein Center, Pllc
Primary Specialty: Dermatology
Enumeration Date: Mar 17, 2021
Last Updated: Sep 2, 2025

Practice Location

Address: 395 COMMERCIAL CT STE C
City: Venice
State: Florida
ZIP Code: 34292-1651
Phone: (941) 529-0070

Authorized Official

Name: DR. GOLTA RASOULI, MD
Title: CO-PRESENDENT
Phone: (941) 529-0070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Phlebology	202K00000X
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Internal Medicine	207R00000X
Dermatology	207N00000X	Primary

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