Organization
ST JUDE PAIN AND REHABILITATION SPECIALISTS
Active
Organization
ST JUDE PAIN AND REHABILITATION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS R RENTA M.D. (PHYSICIAN)
(561) 722-3388
Entity
Organization
Contact information
Practice address
2828 S SEACREST BLVD STE 211, BOYNTON BEACH, FL 33435
(561) 369-7644
(561) 369-3471
Mailing address
1308 LAKE DR, DELRAY BEACH, FL 33444-3046
(561) 722-3388
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
ME73546
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME73546
FL
Other
Enumeration date
04/24/2015
Last updated
07/09/2018
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