Renovar Stem Cell LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RENOVAR STEM CELL LLC

Practice address

2300 Glades Rd Ste 430W
Boca Raton, FL 33431-8533

Phone

(561) 929-5600

Fax

(561) 757-7055

NPI assigned

Dec 8, 2017

Organization subpart

Yes

Parent organization

RENOVAR STEM CELL LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Rouffe

Title

Owner

Phone

(561) 929-5600

Specialties & licenses 1

Addresses

Other names 1

• PRECISION DME Doing business as

Part of

Renovar Stem Cell LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1255846556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GLADES RD STE 430W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318533",
            "telephone_number": "561-929-5600",
            "fax_number": "561-757-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GLADES RD STE 430W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318533",
            "telephone_number": "561-929-5600",
            "fax_number": "561-757-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVAR STEM CELL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENOVAR STEM CELL LLC",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "ROUFFE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-929-5600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRECISION DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.