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Organization

REGENADERM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES FLOYD (CEO)
(501) 529-3953
Entity
Organization

Contact information

Practice address
7510 HIGHWAY 107, SHERWOOD, AR 72120-4645
(479) 439-9696
(479) 485-2055
Mailing address
PO BOX 105, FARMINGTON, AR 72730-0105
(479) 439-9696
(479) 485-2055

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/16/2024
Last updated
04/03/2025
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