OrganizationActive
Advanced Rejuvination
NPI 1710238597 · Sports Medicine (Preventive Medicine) Physician · Sarasota, FL
Provider details
- NPI number
- 1710238597
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- John Lieurance, Administrator
- License
- CH7524 (FL)
Practice location
2033 Wood St
Suite 210
Sarasota, FL 34237-7900
Phone: (941) 330-8553
Fax: (941) 330-9853
Mailing address
2033 Wood St
Sarasota, FL 34237-7900
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2012-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.