OrganizationActive
Rejuva Dermatology & Vein Center, PLLC
NPI 1316522691 · Dermatology Physician · Venice, FL
Provider details
- NPI number
- 1316522691
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Golta Rasouli, Co-Presendent(941) 529-0070
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Phlebology Physician202K00000X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
395 Commercial Ct Ste C
Venice, FL 34292-1651
Phone: (941) 529-0070
Fax: (941) 529-0539
Street-level locationGet directions
Mailing address
2389 E Venice Ave Unit 510
Venice, FL 34292-2465
Other names (DBA / former)
- Doing business as
- Dermatology Associates
Registry dates
- Enumerated
- 2021-03-17
- Last updated
- 2025-09-02
- Certified
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.