Organization
MODERN REJUVENATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO SENAT MD (OWNER)
(317) 827-6326
Entity
Organization
Contact information
Practice address
11495 N PENN ST STE 100, CARMEL, IN 46032-6200
(317) 827-6326
(317) 827-6328
Mailing address
11495 N PENN ST STE 100, CARMEL, IN 46032-6200
(317) 827-6326
(317) 827-6328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
05/19/2021
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