Active NPI
Renu Wellness Centers, LLC.
- Pain Clinic/Center
- Largo, FL
National Provider Identifier
1710650882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- RENU WELLNESS CENTERS, LLC.
- Practice address
- 8839 Bryan Dairy Rd Ste 215
Largo, FL 33777-1207 - Phone
- (727) 851-9804
- NPI assigned
- Jul 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Rubio
- Title
- Corporate Management
- Phone
- (832) 549-2941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
8839 Bryan Dairy Rd Ste 215
Largo, FL 33777-1207
Mailing address
1220 Valley Forge Rd Ste 23
Phoenixville, PA 19460-2676
Phone (832) 549-2941
Other names 1
- RENU WELLNESS CENTERS FLORIDA, LLC.
National Provider Directory
National Provider DirectoryLocations
1220 Valley Forge Rd
Ste 23
Phoenixville, PA 19460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1710650882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 VALLEY FORGE RD STE 23",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194602676",
"telephone_number": "832-549-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8839 BRYAN DAIRY RD STE 215",
"city": "LARGO",
"state": "FL",
"postal_code": "337771207",
"telephone_number": "727-851-9804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENU WELLNESS CENTERS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "RUBIO",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "CORPORATE MANAGEMENT",
"authorized_official_telephone_number": "832-549-2941"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RENU WELLNESS CENTERS FLORIDA, LLC.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.