Rejuvenation Care Clinic of Central Florida

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REJUVENATION CARE CLINIC OF CENTRAL FLORIDA

Practice address

2541 S Volusia Ave Ste 100
Orange City, FL 32763-9116

Phone

(800) 641-9128

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Claxton Copeland III

Title

President

Phone

(800) 641-9128

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1376005009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 E COLONIAL DR APT 1105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264762",
            "telephone_number": "800-641-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 S VOLUSIA AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639116",
            "telephone_number": "800-641-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION CARE CLINIC OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CLAXTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-641-9128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "L19000063350",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Sue Ray, RPH
• Melissa Recio Fernandez, LICENSE MASSAGE THER
• Tiffany Reed
• Angela Mae Reese, RNC-OB
• Rehab Clinics of America, LLC
• Rene Ab Capulong Mdpa
• Raquel Maria Rennie, CRNA
• William M. Rentz, A.R.N.P.
• Restore Injury Health Center
• Gloria Lucia Restrepo Beaux, LMHC

• General Practice Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.