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Organization
TOTAL REJUVENATION LLC
Active
Organization
TOTAL REJUVENATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA GAZZOLA (ACUPUNCTURIST)
(407) 406-0680
Entity
Organization
Contact information
Practice address
200 N DENNING DR, SUITE 7, WINTER PARK, FL 32789-3736
(407) 406-0680
Mailing address
2150 LANGLEY CIR, ORLANDO, FL 32835-5942
(407) 406-0680
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2310
FL
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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