Age Rejuvenation Medical, P.A.
NPI 1801603717 · Family Medicine Physician · Winter Park, FL
Age Rejuvenation Medical, P.A. is a Family Medicine Physician organization in Winter Park, FL (NPI 1801603717).
Provider details
- NPI number
- 1801603717
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yazmyne Miranda, Coo(954) 682-3015
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dietary & Nutritional Service Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Age Rejuvenation
Additional practice locations (5)
- 1155 Nikki View DrBrandon, FL 33511-4879Phone: (813) 681-8624
- 220 N Howard AveTampa, FL 33606-1529Phone: (813) 254-6141
- 1940 Bruce B Downs BlvdWesley Chapel, FL 33544-9262Phone: (813) 575-5577
- 12615 Race Track RdWestchase, FL 33626-1331Phone: (813) 749-7550
- 5730 Hamlin Groves Trl Ste 176Winter Garden, FL 34787-5792Phone: (407) 564-1035
Registry dates
- Enumerated
- 2024-12-13
- Last updated
- 2025-01-20
- Certified
- 2025-01-20
Frequently asked questions
- What is Age Rejuvenation Medical, P.A.'s NPI number?
- Age Rejuvenation Medical, P.A.'s National Provider Identifier (NPI) is 1801603717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Age Rejuvenation Medical, P.A.?
- Age Rejuvenation Medical, P.A. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Age Rejuvenation Medical, P.A. located?
- Age Rejuvenation Medical, P.A.'s practice location on file with NPPES is 125 N Orlando Ave Ste 115, Winter Park, FL 32789-3605.
- What is Age Rejuvenation Medical, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Age Rejuvenation Medical, P.A. is (407) 565-5929.
- Who is the authorized official for Age Rejuvenation Medical, P.A.?
- The authorized official listed on Age Rejuvenation Medical, P.A.'s NPPES record is Yazmyne Miranda, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Age Rejuvenation Medical, P.A.'s NPI active?
- Yes — Age Rejuvenation Medical, P.A.'s NPI (1801603717) is active in the NPPES registry as of the last update on 2025-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.