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Organization
REJUVENX OF ST. PETE, LLC
Active
Organization
REJUVENX OF ST. PETE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DECANIO DC (OWNER)
(561) 422-1819
Entity
Organization
Contact information
Practice address
5880 49TH ST N STE N105, ST PETERSBURG, FL 33709-2150
(727) 291-1660
Mailing address
1470A ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411-1608
(561) 422-1819
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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