# RENAISSANCE MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1881104271
- **Authorized official:** RAFAEL R ROSARIO M.D. (PRESIDENT)
- **Authorized official phone:** (352) 237-8903

## Contact information

- **Practice address:** 7625 SW 62ND CT, OCALA, FL 34476-8322
- **Practice address phone:** (352) 237-8903
- **Practice address fax:** (352) 237-8962
- **Mailing address:** 7625 SW 62ND CT, OCALA, FL 34476-8322
- **Mailing address phone:** (352) 237-8903
- **Mailing address fax:** (352) 237-8962

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2017
- **Last updated:** 10/11/2017