| NPI | 1801603717 |
|---|---|
| Doing Business As | AGE REJUVENATION |
| Entity Type | Organization |
| Authorized Contact | YAZMYNE MIRANDA COO 954-682-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-01-20 |