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ADVANCED REJUVINATION
NPI 1710238597
Preventive Medicine - Sports Medicine in Sarasota, FL

Active since September 20, 2012
2033 WOOD ST, SUITE 210, SARASOTA, FL 34237(941) 330-8553(941) 330-9853 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Rejuvination NPPES

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

ADVANCED REJUVINATION (NPI 1710238597) is a healthcare organization registered as a sports medicine in Sarasota, Florida and active in the NPI registry since September 2012. The organization lists John Lieurance, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710238597
Entity TypeOrganization
Primary Taxonomy2083S0010X
Legal Business NameADVANCED REJUVINATION
Location Address2033 WOOD ST, SUITE 210Sarasota, FL 34237-7900
Mailing Address2033 Wood St, Suite 210Sarasota, FL 34237-7900 · (941) 330-8553 · Fax (941) 330-9853
Phone(941) 330-8553
Fax(941) 330-9853
Organization SubpartNo
Authorized OfficialJohn LieuranceAdministrator · (941) 330-8553
Enumeration DateSeptember 20, 2012
✔ NPI 1710238597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in FL · ME30555
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
Also ListedChiropractor · NeurologyTaxonomy 111NN0400X · License CH7524 (FL)
Also ListedAcupuncturistTaxonomy 171100000X · License AP2975 (FL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License OS5165 (FL)
2033 WOOD ST, Sarasota, FL 34237
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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

Other Providers at the Same Location NPPES 13

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

SYLVIE ANNE JEANLOZ LCSW
Social Worker (Clinical)
2033 WOOD ST
SARASOTA, FL 34237
Sarasota County (941) 677-3366
THOMAS CHAMBERS LCSW
Social Worker (Clinical)
2033 WOOD ST, SUITE 220
SARASOTA, FL 34237
Sarasota County (941) 677-3366
MRS. JOANNE MCDANIEL LCSW
Social Worker (Clinical)
2033 WOOD ST
SARASOTA, FL 34237
Sarasota County (941) 677-3366
DR. STUART SAMUEL BURSTEIN M.D.
Psychiatry & Neurology (Psychiatry)
2033 WOOD ST, SUITE 215
SARASOTA, FL 34237
Sarasota County (941) 677-3366
SARASOTA HOME CARE, INC
In Home Supportive Care
2033 WOOD ST, SUITE 105
SARASOTA, FL 34237
Sarasota County (207) 233-4759
DR. HOWARD M. CHASOLEN DMD
Dentist (Prosthodontics)
2033 WOOD ST, SUITE 125
SARASOTA, FL 34237
Sarasota County (941) 957-0063
MRS. KATHRYN P BENNINGHOVE
Counselor (Mental Health)
2033 WOOD ST
SARASOTA, FL 34237
Sarasota County (941) 677-3366
ANNE KATHERINE GLOWACKI MSW, LCSW, LMFT
Social Worker (Clinical)
2033 WOOD ST
SARASOTA, FL 34237
Sarasota County (941) 323-0733

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 Advanced Rejuvination's NPI number?

The NPI number for Advanced Rejuvination is 1710238597. It was assigned to this organization in the NPPES registry on September 20, 2012.

Where is Advanced Rejuvination located?

Advanced Rejuvination is located at 2033 Wood St Suite 210, Sarasota, FL 34237. The listed phone number is (941) 330-8553.

What is Advanced Rejuvination's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Advanced Rejuvination was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.