ADVANCED REJUVINATION – NPI #1710238597
Preventive Medicine

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

Health Care Provider Taxonomy Code for Preventive Medicine

ADVANCED REJUVINATION is a provider located in SARASOTA, FL. NPPES has assigned the NPI number 1710238597 to ADVANCED REJUVINATION on September 20, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED REJUVINATION below.

NPI Profile for
ADVANCED REJUVINATION

NPI Number
1710238597
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED REJUVINATION
Primary location
2033 WOOD ST
SUITE 210
SARASOTA, FL 34237-7900
Phone: (941) 330-8553 Fax: (941) 330-9853
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN LIEURANCE
ADMINISTRATOR
Phone: (941) 330-8553
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083S0010X
- Preventive Medicine / Sports Medicine (Primary)		 FL ME30555
208D00000X
- General Practice		 FL OS5165
171100000X
- Acupuncturist		 FL AP2975
111NN0400X
- Chiropractor / Neurology		 FL CH7524

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.