# RENEW U MASSAGE & SKINCARE, LLC

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

## Provider details

- **NPI number:** 1649526047
- **Authorized official:** KATANYA TAITE LMT (OWNER, MASSAGE THERAPIST)
- **Authorized official phone:** (941) 388-7633

## Contact information

- **Practice address:** 4930 FRUITVILLE RD, SARASOTA, FL 34232-2206
- **Practice address phone:** (941) 388-7633
- **Mailing address:** 4930 FRUITVILLE RD, SARASOTA, FL 34232-2206
- **Mailing address phone:** (941) 388-7633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | MM27913 | FL | Yes |

## Other

- **Enumeration date:** 08/03/2012
- **Last updated:** 08/07/2013