AGE REJUVENATION MEDICAL, P.A.
NPI 1801603717
Family Medicine in Winter Park, FL

NPI Status: Active since December 13, 2024

Contact Information

125 N ORLANDO AVE STE 115
WINTER PARK, FL
ZIP 32789
Phone: (407) 565-5929

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  • Organization
  • Family Medicine

About AGE REJUVENATION MEDICAL, P.A.

This page provides the complete NPI Profile along with additional information for Age Rejuvenation Medical, P.a., a primary care provider established in Winter Park, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1801603717 assigned on December 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Age Rejuvenation Medical, P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Yazmyne Miranda (Coo)

NPI
1801603717
Provider Legal Name
AGE REJUVENATION MEDICAL, P.A.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
125 N ORLANDO AVE STE 115 WINTER PARK, FL 32789
Location Phone
(407) 565-5929
Mailing Address
2409 N FALKENBURG RD TAMPA, FL 33619
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2024
Last Update Date
01-20-2025
Code Navigator

A primary care provider (PCP) like Age Rejuvenation Medical, P.a. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1940 Bruce B Downs Blvd
    Wesley Chapel, FL 33544
    (813) 575-5577
  • 1155 Nikki View Dr
    Brandon, FL 33511
    (813) 681-8624
  • 5730 Hamlin Groves Trl Ste 176
    Winter Garden, FL 34787
    (407) 564-1035
  • 12615 Race Track Rd
    Westchase, FL 33626
    (813) 749-7550
  • 220 N Howard Ave
    Tampa, FL 33606
    (813) 254-6141

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133VN1201XDietary & Nutritional Service Providers

Dietitian, Registered
Nutrition, Obesity and Weight Management

 
2207QB0002XAllopathic & Osteopathic Physicians

Family Medicine
Obesity Medicine

 
32083B0002XAllopathic & Osteopathic Physicians

Preventive Medicine
Obesity Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YAZMYNE MIRANDA

Authorized Official Title
COO
Authorized Official Phone
(954) 682-3015

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801603717, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 1 + 2 + 0 + 6 + 7 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1801603717.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801603717, enumerated as an "organization" on December 13, 2024.

The provider is located at 125 N ORLANDO AVE STE 115 WINTER PARK, FL 32789 and the phone number is (407) 565-5929.

Family Medicine with taxonomy code 207Q00000X.