Regenerative Health Services

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

REGENERATIVE HEALTH SERVICES

Practice address

1585 Santa Barbara Blvd Ste a
Lady Lake, FL 32159-6820

Phone

(352) 430-2121

Fax

(352) 430-2114

NPI assigned

Jan 13, 2021

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Wulff, MD

Title

Medical Director

Phone

(352) 430-2121

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1912596990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD STE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-430-2121",
            "fax_number": "352-430-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SANTA BARBARA BLVD STE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "352-430-2121",
            "fax_number": "352-430-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WULFF",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-430-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cfrmthevillages.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1585 Santa Barbara Blvd Ste A",
            "city": "Lady Lake",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321596820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Surgery Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.