Organization Active NPI

2Rejuv MD Services Inc.

Doing business as 2Rejuv

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1689248312
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
2REJUV MD SERVICES INC.
Doing business as
2Rejuv
Practice address
812 W Dr Martin Luther King Jr Blvd Ste 202
Tampa, FL 33603-3338
Phone
(877) 627-3588
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Ronald FigueredoNPI 1184884025
Title
Owner
Phone
(610) 952-3430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

812 W Dr Martin Luther King Jr Blvd Ste 202
Tampa, FL 33603-3338

Mailing address

812 W Dr Martin Luther King Jr Blvd Ste 202
Tampa, FL 33603-3338
Phone (877) 627-3588

Other names 1

  • 2Rejuv Doing business as

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": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1689248312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W DR MARTIN LUTHER KING JR BLVD STE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033338",
            "telephone_number": "877-627-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W DR MARTIN LUTHER KING JR BLVD STE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033338",
            "telephone_number": "877-627-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2REJUV MD SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "FIGUEREDO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-952-3430"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2Rejuv",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.