# REGENERATE WELLNESS INC

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

## Provider details

- **NPI number:** 1730702812
- **Authorized official:** DR. MICHAEL I COHEN DC (OWNER)
- **Authorized official phone:** (954) 514-7306

## Contact information

- **Practice address:** 2631 E OAKLAND PARK BLVD STE 110, FORT LAUDERDALE, FL 33306-1607
- **Practice address phone:** (954) 514-7306
- **Practice address fax:** (954) 337-6408
- **Mailing address:** 2631 E OAKLAND PARK BLVD STE 110, FORT LAUDERDALE, FL 33306-1607
- **Mailing address phone:** (954) 514-7306
- **Mailing address fax:** (954) 337-6408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2020
- **Last updated:** 05/26/2020