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Organization
REJUVENX OF TAMPA LLC
Active
Organization
REJUVENX OF TAMPA 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
2506 W VIRGINIA AVE UNIT B, TAMPA, FL 33607-6326
(941) 697-3001
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
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/09/2023
Last updated
10/28/2025
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