# REMAGIN, LLC

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

## Provider details

- **NPI number:** 1710299151
- **Authorized official:** DEEPAK RAJA MD (OWNER/MD)
- **Authorized official phone:** (407) 704-3937

## Contact information

- **Practice address:** 4750 THE GROVE DR, SUITE 230, WINDERMERE, FL 34786
- **Practice address phone:** (407) 704-3937
- **Practice address fax:** (407) 704-3920
- **Mailing address:** 4750 THE GROVE DR, SUITE 230, WINDERMERE, FL 34786
- **Mailing address phone:** (407) 704-3937
- **Mailing address fax:** (407) 704-3920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 106364 | FL | Yes |

## Other

- **Enumeration date:** 07/13/2010
- **Last updated:** 11/19/2020