Rejuvinex Medical Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REJUVINEX MEDICAL CENTER, LLC

Doing business as

Rejuvinex Medical Kissimmee

Practice address

208 E Colonial Dr
Orlando, FL 32801-1204

Phone

(407) 601-2189

Fax

(407) 601-2204

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Anicia O Vicente, MA

Title

Director of Operations

Phone

(407) 399-9070

Specialties & licenses 1

Addresses

Other names 1

• Rejuvinex Medical Kissimmee Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1811580384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011204",
            "telephone_number": "407-601-2189",
            "fax_number": "407-601-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011204",
            "telephone_number": "407-601-2189",
            "fax_number": "407-601-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVINEX MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "ANICIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "407-399-9070",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anicia@rejuvinexmedical.com",
            "affiliation": "N",
            "endpointDescription": "anicia@rejuvinexmedical.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 E Colonial Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328011204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rejuvinex Medical Kissimmee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Grace Reiter, PHARMD
• Jamie Reiter, D.D.S.
• Yadiris Reiter, DMD
• Joshua David Reitzfeld, CRNA
• Romny M Rejouis, HSC II
• Vijaya Rekha, MD
• Orvelie Relator, ARNP
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• Reliable Medical Supply LLC

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.