NPIMap

Organization Active NPI

Rejuvenate Orthopedic & Regenerative Medicine LLC

  • Physician Assistant
  • Rockledge, FL
National Provider Identifier
1598681108
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
REJUVENATE ORTHOPEDIC & REGENERATIVE MEDICINE LLC
Practice address
6420 3Rd St Ste 103
Rockledge, FL 32955-5788
Phone
(321) 335-7833
NPI assigned
Jun 26, 2026
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
David Harris, PA-CNPI 1528032547
Title
Owner
Phone
(321) 652-5929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

6420 3Rd St Ste 103
Rockledge, FL 32955-5788

Mailing address

6420 3Rd St Ste 103
Rockledge, FL 32955-5788
Phone (321) 335-7833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1598681108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 3RD ST STE 103",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555788",
            "telephone_number": "321-335-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 3RD ST STE 103",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555788",
            "telephone_number": "321-335-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE ORTHOPEDIC & REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-652-5929",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.