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A REJUVENATED HEALTHCARE LLC
NPI 1245791235
Clinic/Center - Primary Care in St Petersburg, FL

Active since March 31, 2019
3641 TYRONE BLVD N STE 3, ST PETERSBURG, FL 33710(727) 301-9628 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2019, Apr 3, 2019 (2 updates tracked since 2019).

About A Rejuvenated Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A REJUVENATED HEALTHCARE LLC (NPI 1245791235) is a healthcare organization registered as a primary care in St Petersburg, Florida and active in the NPI registry since March 2019. The organization lists Jeremiah Klotz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1245791235
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameA REJUVENATED HEALTHCARE LLC
Location Address3641 TYRONE BLVD N STE 3St Petersburg, FL 33710-1150
Mailing Address3641 Tyrone Blvd N Ste 3St Petersburg, FL 33710-1150 · (727) 301-9628
Phone(727) 301-9628
Organization SubpartNo
Authorized OfficialJeremiah KlotzOffice Manager · (727) 767-0168
Enumeration DateMarch 31, 2019
Last NPPES UpdateMay 1, 20192 updates tracked since enumeration
✔ NPI 1245791235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3641 TYRONE BLVD N STE 3, St Petersburg, FL 33710
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Other Names 1

Other NameA Rejuvenated Healthcare Llc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID VICE SKARO D.C.
Chiropractor
3641 TYRONE BLVD N STE 3
ST PETERSBURG, FL 33710
Pinellas County (727) 466-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Rejuvenated Healthcare LLC's NPI number?

The NPI number for A Rejuvenated Healthcare LLC is 1245791235. It was assigned to this organization in the NPPES registry on March 31, 2019.

Where is A Rejuvenated Healthcare LLC located?

A Rejuvenated Healthcare LLC is located at 3641 Tyrone Blvd N Ste 3, St Petersburg, FL 33710. The listed phone number is (727) 301-9628.

What is A Rejuvenated Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for A Rejuvenated Healthcare LLC was last updated on May 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.