Rejuva Stem Cell Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

REJUVA STEM CELL CLINIC

Practice address

2151 S Alternate A1A Ste 650
Jupiter, FL 33477-4097

Phone

(561) 926-7836

NPI assigned

Feb 5, 2019

Last updated

Feb 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Graham A Bunce

Title

Owner

Phone

(561) 926-7836

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Tillman, DC

  • Chiropractor
  • Charleston, SC
  • NPI 1083675623
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1295290278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S ALTERNATE A1A STE 650",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S ALTERNATE A1A STE 650",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774097",
            "telephone_number": "561-926-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVA STEM CELL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "BUNCE",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-926-7836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Reid, LMHC
• Eugene A. Reiff, P.T.
• Eric Peter Reigelsberger
• Reiley Zeiter Reiley, PT, ATC
• Angelica Faminial Reilly
• Reliable Lab Group,LLC. (Reliable Laboratories)
• Reliant Senior Living LLC (Living Rehab)
• Candace Remy, LMT
• Renamed LLC
• Renovare Counseling, LLC

• Multi-Specialty Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.