OrganizationActive
Physical Evidence Regen, LLC
NPI 1952021891 · Integrative Medicine Physician · Boca Raton, FL
Provider details
- NPI number
- 1952021891
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Lipman, Mgr(561) 674-1217
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7035 Beracasa Way Ste 103
Boca Raton, FL 33433-3454
Phone: (561) 674-1217
Fax: (561) 287-6556
Approximate (ZIP-level) locationGet directions
Mailing address
7035 Beracasa Way Ste 103
Boca Raton, FL 33433-3454
Other names (DBA / former)
- Doing business as
- Physical Evidence Regen
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2022-08-31
- Certified
- 2022-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.