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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

REJUVA DERMATOLOGY & VEIN CENTER, PLLC
NPI 1316522691
Dermatology in Venice, FL

Active since March 17, 2021CLIA 10D2235709 · Certificate of Compliance
395 COMMERCIAL CT STE C, VENICE, FL 34292(941) 529-0070(941) 529-0539 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Sep 2, 2025, Nov 3, 2021 and 6 more (9 updates tracked since 2021).

About Rejuva Dermatology & Vein Center, Pllc NPPES

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

REJUVA DERMATOLOGY & VEIN CENTER, PLLC (NPI 1316522691), doing business as Dermatology Associates, is a healthcare organization registered as a dermatology in Venice, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Certificate of Compliance certificate valid through April 17, 2028 and lists Golta Rasouli, Co-presendent, as its authorized official.

NPPES Registry Identity

NPI1316522691
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameREJUVA DERMATOLOGY & VEIN CENTER, PLLC
Location Address395 COMMERCIAL CT STE CVenice, FL 34292-1651
Mailing Address2389 E Venice Ave Unit 510Venice, FL 34292-2465 · (941) 529-0070 · Fax (941) 529-0539
Phone(941) 529-0070
Fax(941) 529-0539
Organization SubpartNo
Authorized OfficialGolta RasouliCo-presendent · (941) 529-0070
Enumeration DateMarch 17, 2021
Last NPPES UpdateJuly 22, 20269 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1316522691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedPhlebologyTaxonomy 202K00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedInternal MedicineTaxonomy 207R00000X
395 COMMERCIAL CT STE C, Venice, FL 34292
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Other Names 1

Doing Business AsDermatology Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2235709

Rejuva Dermatology & Vein Center PLLC · Venice, FL
Active · expires Apr 17, 2028
CLIA Number10D2235709
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorSean E. Mazloom
Laboratory Phone(941) 529-0070
Laboratory LocationRejuva Dermatology & Vein Center PLLC395 Commercial Court Unit C, Venice, FL 34292
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

DR. GOLTA RASOULI M.D.
Phlebology
395 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (941) 529-0070
PRATIVA ASHANA BHAGWANDIN PA
Physician Assistant
395 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (941) 529-0070
DR. SEAN MAZLOOM MD
Dermatology (MOHS-Micrographic Surgery)
395 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (941) 529-0070
EMMA PATRICIA COLVIN PA-C
Physician Assistant
395 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (941) 529-0070

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 Rejuva Dermatology & Vein Center, PLLC's NPI number?

The NPI number for Rejuva Dermatology & Vein Center, PLLC is 1316522691. It was assigned to this organization in the NPPES registry on March 17, 2021. The provider is doing business as Dermatology Associates.

Where is Rejuva Dermatology & Vein Center, PLLC located?

Rejuva Dermatology & Vein Center, PLLC is located at 395 Commercial Ct Ste C, Venice, FL 34292. The listed phone number is (941) 529-0070.

What is Rejuva Dermatology & Vein Center, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Rejuva Dermatology & Vein Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2235709) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rejuva Dermatology & Vein Center, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rejuva Dermatology & Vein Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rejuva Dermatology & Vein Center, PLLC was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.