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Organization
SRC1 FL LLC
Active
Organization
SRC1 FL LLC
Active
Other names
Summit Rejuvenation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE FREANT (MANAGING MEMBER)
(407) 712-3252
Entity
Organization
Contact information
Practice address
11915 BEACH BLVD STE 116, JACKSONVILLE, FL 32246-6707
(904) 481-5090
Mailing address
11915 BEACH BLVD STE 116, JACKSONVILLE, FL 32246-6707
(904) 481-5090
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/16/2026
Last updated
09/16/2026
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