ADVANCED REJUVINATION (NPI# 1710238597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710238597 |
| Entity Type | Organization |
| Organization Name | ADVANCED REJUVINATION |
| Practice Address |
2033 Wood St Suite 210 Sarasota FL 34237-7900 |
| Practice Telephone | 9413308553 |
| Practice Fax Number | 9413309853 |
| Mailing Telephone | 9413308553 |
| Mailing Fax Number | 9413309853 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | DR. JOHN LIEURANCE (ADMINISTRATOR) |
| Authorized Official Telephone | 9413308553 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
CH7524 | FL | Chiropractic Providers |
| N | 171100000X | Acupuncturist | AP2975 | FL | Other Service Providers |
| N | 208D00000X | General Practice | OS5165 | FL | Allopathic & Osteopathic Physicians |
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
ME30555 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2033 WOOD ST SUITE 210 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34237-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902908296 | Edwin R. Larson | Counselor | 2033 Wood St, Ste 220, Sarasota, FL 34237-7900 | 2006-09-05 |
| 1487059432 | Sarasota Home Care, Inc | In Home Supportive Care | 2033 Wood St, Suite 105, Sarasota, FL 34237-7900 | 2014-10-31 |
| 1578990149 | Susan Alarie | Counselor | 2033 Wood St, Suite 220, Sarasota, FL 34237-7900 | 2013-09-27 |
| 1659716058 | Howard M. Chasolen | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2013-04-30 |
| 1134467699 | Thomas Chambers | Social Worker | 2033 Wood St, Suite 220, Sarasota, FL 34237-7900 | 2013-01-17 |
| 1700123700 | Anne Katherine Glowacki | Social Worker | 2033 Wood St, Sarasota, FL 34237-7900 | 2013-01-10 |
| 1063766590 | Sylvie Anne Jeanloz | Social Worker | 2033 Wood St, Sarasota, FL 34237-7900 | 2012-11-06 |
| 1942552575 | Advanced Rejuvenation LLC | General Practice | 2033 Wood St, 210, Sarasota, FL 34237-7900 | 2012-10-05 |
| 1699038703 | Kathryn P Benninghove | Counselor | 2033 Wood St, Sarasota, FL 34237-7900 | 2012-06-22 |
| 1710273883 | Howard M. Chasolen, Dmd, Pa | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595004 | Brett Sondag | Counselor | 2033 Wood St., Ste. 215, 218, 220, Sarasota, FL 34237 | 2019-06-05 |
| 1730608274 | Stacy Lee Panzella | Behavior Technician | 2461 8th Street, Unit 52, Sarasora, FL 34237 | 2017-09-15 |
| 1871010942 | Katy Darlene Wendel | Registered Nurse | 1231 N. Tuttle Avenue, Sarasota, FL 34237 | 2017-08-29 |
| 1639699663 | Mark W. Phillips | Nurse Practitioner | 1 S School Ave Ste 200, Sarasota, FL 34237 | 2017-06-21 |
| 1295075281 | Baltimore Orioles Limited Partnership | Non-Pharmacy Dispensing Site | 1090 Euclid Ave, Ed Smith-baltimore Orioles-athletic Training Department, Sarasota, FL 34237 | 2013-02-27 |
| 1164786877 | Robin Susan Bernstein | Counselor | 520 Payne Pkwy, Sarasota, FL 34237 | 2012-06-27 |
| 1598053787 | Linda B Sherr | Counselor | 504 Payne Parkway, Sarasota, FL 34237 | 2011-07-21 |
| 1245463405 | Lydia Gay Corn | Internal Medicine | 80 S Tuttle Avenue, Suite 100, Sarasota, FL 34237 | 2009-09-03 |
| 1316187156 | John R Picken Md | General Practice | 3530 Fruitville Road, Sarasoa, FL 34237 | 2009-03-05 |
| 1124299193 | Manav Malik | Dentist | 3103 Fruitville Rd, Sarasota, FL 34237 | 2008-03-18 |
| Find all providers in zip 34237 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124247721 | Mark Vincent Walter | Preventive Medicine | 2365 S Tamiami Trl, Sarasota, FL 34239-3808 | 2007-04-24 |
| 1174745806 | Sports Rehabilitation & Physical Medicine Specialists, Inc | Preventive Medicine | 7147 Curtiss Ave, Sarasota, FL 34231-8012 | 2007-05-03 |
| 1215156724 | Advanced Healing Arts | Preventive Medicine | 2365 S Tamiami Trl, Sarasota, FL 34239-3808 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020366 | Eric Peter Reigelsberger | Preventive Medicine | 4657 Main St, Jupiter, FL 33458-5203 | 2019-12-13 |
| 1518484245 | Chad Edwin Jackson | Preventive Medicine | 14110 Six Mile Cypress Pkwy, Fort Myers, FL 33912-4314 | 2017-08-24 |
| 1548896434 | Craig John Robinson Wilder | Preventive Medicine | 777 Glades Rd, Boca Raton, FL 33431-6496 | 2020-03-23 |
| 1265068332 | Rachel Leeann Lewis | Preventive Medicine | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2020-03-20 |
| 1922513621 | Hayley Elizabeth Betz | Preventive Medicine | 901 S Flagler Dr, West Palm Beach, FL 33401-6505 | 2017-12-05 |
| 1548541998 | Center for Natural Healing and Regenerative Medicine, Inc. | Preventive Medicine | 2825 N State Road 7, 203, Margate, FL 33063-5737 | 2011-08-30 |
| 1407072341 | Tiffany B Jordan | Preventive Medicine | 2235 Venetian Court, Suite 1, Naples, FL 34109-8728 | 2007-04-18 |
Please comment or provide details below to improve the information on ADVANCED REJUVINATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.