# REJUVEFACE, LLC

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

## Provider details

- **NPI number:** 1386050854
- **Authorized official:** DR. MARK A CHECCONE MD (FACIAL PLASTIC SURGEON)
- **Authorized official phone:** (941) 735-7532

## Contact information

- **Practice address:** 4901 CLARK RD, SARASOTA, FL 34233-3251
- **Practice address phone:** (941) 735-7532
- **Mailing address:** 4901 CLARK RD, SARASOTA, FL 34233-3251
- **Mailing address phone:** (941) 404-5438
- **Mailing address fax:** (941) 953-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | — |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2014
- **Last updated:** 03/26/2025