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Organization
REGEN 40 LLC
Active
Organization
REGEN 40 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS A NARCISO SR. (PRESIDENT)
(786) 972-2643
Entity
Organization
Contact information
Practice address
8950 SW 74TH CT STE 2201, MIAMI, FL 33156-3181
(786) 972-2643
(786) 524-0509
Mailing address
8950 SW 74TH CT STE 2201, MIAMI, FL 33156-3181
(786) 972-2643
(786) 524-0509
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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