Regen Primary Medical LLC
NPI #1508475682 in Champions Gate, Florida
Provider Information
- NPI Number
- 1508475682
- Entity Type
- Organization
- Organization Name
- Regen Primary Medical LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 24, 2020
- Last Updated
- Jul 24, 2020
Practice Location
- Address
- 8390 CHAMPIONS GATE BLVD STE 108
- City
- Champions Gate
- State
- Florida
- ZIP Code
- 33896-8311
- Phone
- (714) 551-9576
Authorized Official
- Name
- BRYN HENDERSON
- Title
- OWNER
- Phone
- (714) 551-9576
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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