NPI | 1073219523 |
---|---|
Doing Business As | REJUVENE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | RACHEL SIROIS Owner 904-478-5790 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-02-06 |
Last Update Date | 2024-03-21 |