# RENEWAL THERAPY SERVICES LLC

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

## Provider details

- **NPI number:** 1659103448
- **Authorized official:** KARLA FRANCHESKA MIRANDA MEDINA MD (OWNER)
- **Authorized official phone:** (787) 435-5170

## Contact information

- **Practice address:** 5036 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4904
- **Practice address phone:** (813) 735-4635
- **Mailing address:** 5036 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4904
- **Mailing address phone:** (813) 735-4635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 05/11/2026