Renaissance Medical Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RENAISSANCE MEDICAL CLINIC LLC

Practice address

7625 SW 62ND CT
Ocala, FL 34476-8322

Phone

(352) 237-8903

Fax

(352) 237-8962

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Rafael R Rosario, M.D.

Title

President

Phone

(352) 237-8903

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1881104271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 SW 62ND CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768322",
            "telephone_number": "352-237-8903",
            "fax_number": "352-237-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 SW 62ND CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768322",
            "telephone_number": "352-237-8903",
            "fax_number": "352-237-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-237-8903",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Reinold, MSW
• Christian Reintgen, MD
• Frank Frederick Reisner, M.D.
• Lisa Carol Reisner, A.R.N.P.
• Faith Rembish
• Renal Treatment Centers-Southeast LP (Ocala Regional Kidney Center West)
• Renal Treatment Centers-Southeast, LP. (Ocala Regional Kidney Ctrs Home Dialysis Division)
• Renal Treatment Centers-Southeast, LP. (Ocala Regional Kidney Center - East)
• Erin E Renaud
• Renew Psychiatry

• General Practice Physician in Ocala, FL
• Providers in Ocala, 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 Oct 11, 2017; 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.