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

Active since December 13, 2024
125 N ORLANDO AVE STE 115, WINTER PARK, FL 32789(407) 565-5929 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Age Rejuvenation Medical, P.a. NPPES

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

AGE REJUVENATION MEDICAL, P.A. (NPI 1801603717), doing business as Age Rejuvenation, is a healthcare organization registered as a family medicine in Winter Park, Florida and active in the NPI registry since December 2024. The organization maintains 5 additional practice locations and lists Yazmyne Miranda, Coo, as its authorized official.

NPPES Registry Identity

NPI1801603717
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAGE REJUVENATION MEDICAL, P.A.
Location Address125 N ORLANDO AVE STE 115Winter Park, FL 32789-3605
Mailing Address2409 N Falkenburg RdTampa, FL 33619-0915
Phone(407) 565-5929
Organization SubpartNo
Authorized OfficialYazmyne MirandaCoo · (954) 682-3015
Enumeration DateDecember 13, 2024
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1801603717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
125 N ORLANDO AVE STE 115, Winter Park, FL 32789
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Other Names 1

Doing Business AsAge Rejuvenation

Secondary Practice Locations 5

Location 11155 Nikki View DrBrandon, FL 33511-4879 · Phone (813) 681-8624
Location 25730 Hamlin Groves Trl Ste 176Winter Garden, FL 34787-5792 · Phone (407) 564-1035
Location 312615 Race Track RdWestchase, FL 33626-1331 · Phone (813) 749-7550
Location 4220 N Howard AveTampa, FL 33606-1529 · Phone (813) 254-6141
Location 51940 Bruce B Downs BlvdWesley Chapel, FL 33544-9262 · Phone (813) 575-5577

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

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 Age Rejuvenation Medical, P.A.'s NPI number?

The NPI number for Age Rejuvenation Medical, P.A. is 1801603717. It was assigned to this organization in the NPPES registry on December 13, 2024. The provider is doing business as Age Rejuvenation.

Where is Age Rejuvenation Medical, P.A. located?

Age Rejuvenation Medical, P.A. is located at 125 N Orlando Ave Ste 115, Winter Park, FL 32789. The listed phone number is (407) 565-5929.

What is Age Rejuvenation Medical, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Age Rejuvenation Medical, P.A. was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.