1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Clinic Center
  6. NPI Profile

REGENERATIVE MEDICINE SPACE COAST LLC
NPI 1760246656
Clinic/Center - Multi-Specialty in Orlando, FL

Active since February 12, 2024
954 LAKE BALDWIN LN, ORLANDO, FL 32814(407) 315-2271 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Regenerative Medicine Space Coast Llc NPPES

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

REGENERATIVE MEDICINE SPACE COAST LLC (NPI 1760246656) is a healthcare organization registered as a multi-specialty in Orlando, Florida and active in the NPI registry since February 2024. The organization lists Rafael Foss, Owner, as its authorized official.

NPPES Registry Identity

NPI1760246656
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREGENERATIVE MEDICINE SPACE COAST LLC
Location Address954 LAKE BALDWIN LNOrlando, FL 32814-6651
Mailing AddressPo Box 24556Jacksonville, FL 32241-4556
Phone(407) 315-2271
Organization SubpartNo
Authorized OfficialRafael FossOwner · (786) 370-1111
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1760246656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
954 LAKE BALDWIN LN, Orlando, FL 32814
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

TIMOTHY ANDERSON PA
Physician Assistant
954 LAKE BALDWIN LN
ORLANDO, FL 32814
Orange County (407) 478-9797
SANGEETA PATI M.D., FACOG
Homeopath
954 LAKE BALDWIN LN
ORLANDO, FL 32814
Orange County (407) 478-9797
IMMANUEL'S IMAGES, INC
Chiropractor (Thermography)
954 LAKE BALDWIN LN
ORLANDO, FL 32814
Orange County (407) 832-5066
ALLISON EUTIN
Counselor (Mental Health)
954 LAKE BALDWIN LN
ORLANDO, FL 32814
Orange County (814) 701-1145
STEFONI STRATTON PA-C
Physician Assistant
954 LAKE BALDWIN LN
ORLANDO, FL 32814
Orange County (407) 613-2473
MCKENZIE RAIN BOWEN-TART LMHC
Counselor (Mental Health)
954 LAKE BALDWIN LN
ORLANDO, FL 32814
Orange County (304) 308-0396

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 Regenerative Medicine Space Coast LLC's NPI number?

The NPI number for Regenerative Medicine Space Coast LLC is 1760246656. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Regenerative Medicine Space Coast LLC located?

Regenerative Medicine Space Coast LLC is located at 954 Lake Baldwin Ln, Orlando, FL 32814. The listed phone number is (407) 315-2271.

What is Regenerative Medicine Space Coast LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Regenerative Medicine Space Coast LLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.