OrganizationActive
A Rejuvenated Healthcare LLC
NPI 1245791235 · Primary Care Clinic/Center · St Petersburg, FL
Provider details
- NPI number
- 1245791235
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremiah Klotz, Office Manager(727) 767-0168
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3641 Tyrone Blvd N Ste 3
St Petersburg, FL 33710-1150
Phone: (727) 301-9628
Approximate (ZIP-level) locationGet directions
Mailing address
3641 Tyrone Blvd N Ste 3
St Petersburg, FL 33710-1150
Other names (DBA / former)
- Other name
- A Rejuvenated Healthcare LLC
- Other name
- A Rejuvenated Healthcare LLC
Registry dates
- Enumerated
- 2019-03-31
- Last updated
- 2019-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.