# BODY RENEWAL LASER CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184954778
- **Authorized official:** DR. NANCIE JEAN BRENES DOM, AP (OWNER)
- **Authorized official phone:** (941) 751-2345

## Contact information

- **Practice address:** 6815 14TH ST W STE 208, BRADENTON, FL 34207-5810
- **Practice address phone:** (941) 751-2345
- **Practice address fax:** (941) 751-6336
- **Mailing address:** 6815 14TH ST W STE 208, BRADENTON, FL 34207-5810
- **Mailing address phone:** (941) 751-2345
- **Mailing address fax:** (941) 751-6336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2026 | FL | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 01/05/2010
