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Organization
REJUVINIX, LLC
Active
Organization
REJUVINIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SALINAS RN (CEO)
(414) 736-1317
Entity
Organization
Contact information
Practice address
4701 COLUMBUS ST, VIRGINIA BEACH, VA 23462-6725
(414) 736-1317
Mailing address
409 COURAGE WAY, VIRGINIA BEACH, VA 23451-5594
(414) 736-1317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
07/13/2017
Last updated
12/19/2018
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